LIVE WELL IPA

RANCHO MIRAGE, CA
NPI1891413936
Entity TypeOrganization
Authorized ContactSUMIT MAHAJAN
CEO
760-567-6545
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
LIVE WELL IPA
35400 BOB HOPE DR STE 204
RANCHO MIRAGE, CA 92270-1774
Phone number: 760-567-6546
Mailing Address
LIVE WELL IPA
35400 BOB HOPE DR STE 204
RANCHO MIRAGE, CA 92270-1774
Phone number: 760-567-6546
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COACHELLAMED A PROFESSIONAL CORPORATION