Jesse Arredondo
Individual provider Active NPI Counselor · Indio, CA
NPI 1265901565 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1265901565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 82704 Miles Ave
Indio, CA 92201-4230 - Phone
- (951) 352-3943
- NPI assigned
- Nov 15, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.H.a.R.L.E.E. Family Care, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
82704 Miles Ave
Indio, CA 92201-4230
Mailing address
6711 Arlington Ave Ste C
Riverside, CA 92504-1966
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.