| Organization Name: | CLINICA MEDICA DEL VALLE, INC. |
| NPI Number: | 1790921641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUAN M ACOSTA (PRESIDENT) |
| Mailing Address: | 52-565 Harrison Street Suite 104 Coachella |
| State: | CA US |
| Postal Code: | 922361534 |
| Phone Number: | 7603980606 |
| Fax Number: | 7603985507 |
| NPI Enumeration Date: | 12/24/2008 |
| NPI Last Update Date: | 12/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0120X |
| License Number: | A66595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Pediatric Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |