Provider Information
 Last Updated:  Nov 4 2025 5:14 AM	
	
	CENTRO MEDICO COACHELLA (LASALLE - RIVERSIDE)
City Riverside  | 
Group Health Net  | 
Specialty Clinic  | 
Last Name CENTRO MEDICO COACHELLA (LASALLE - RIVERSIDE)  | 
Address 55497 Van Buren  | 
State CA  | 
Zip Code 92274  | 
Phone (760)399-4526  | 
Hours Mon - Fri 7:00 a.m. - 4:00 p.m  | 
Physician ID MC49000844  | 
Section Number 9  | 
County IMPERIAL  | 
PPG NAME LASALLE MEDICAL ASSOCIATES  | 
Clinic Service Type FQHC  | 
PPG ID MRI79  | 
NPI Number 1730249947  | 
PHY CCT IND N  | 
