Provider Demographics
NPI:1003284423
Name:COACHELLA VALLEY FOOT AND ANKLE INSTITUTE
Entity Type:Organization
Organization Name:COACHELLA VALLEY FOOT AND ANKLE INSTITUTE
Other - Org Name:CVFA INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:WEHRLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:760-848-8231
Mailing Address - Street 1:74000 COUNTRY CLUB DR STE E4
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-1678
Mailing Address - Country:US
Mailing Address - Phone:760-848-8231
Mailing Address - Fax:760-610-6102
Practice Address - Street 1:74000 COUNTRY CLUB DR STE E4
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-1678
Practice Address - Country:US
Practice Address - Phone:760-848-8231
Practice Address - Fax:760-610-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACAI79363Medicare PIN