| Organization Name: | DESERT FAMILY CARE |
| NPI Number: | 1023215308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOB LOPEZ (NP) |
| Mailing Address: | 81713 Highway 111 Suite F Indio |
| State: | CA US |
| Postal Code: | 922010000 |
| Phone Number: | 7608635355 |
| Fax Number: | 7608635885 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP9223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |