Healthcare Provider Details

I. General information

NPI: 1619267796
Provider Name (Legal Business Name): VALLEY MEDPLUS HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 NAPOLEON RD
RANCHO MIRAGE CA
92270-2715
US

IV. Provider business mailing address

17 NAPOLEON RD
RANCHO MIRAGE CA
92270-2715
US

V. Phone/Fax

Practice location:
  • Phone: 760-300-3537
  • Fax:
Mailing address:
  • Phone: 760-300-3537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DHARMAVIJAYPAL REDDY NARAYAN
Title or Position: OWNER
Credential: M.D.
Phone: 760-300-3537