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Contact Information

DESERT PHYSICAL MEDICINE
81765 HIGHWAY 111, STE #3
INDIO, CA92201
 Phone: 760-863-5955
 Fax: 760-863-5655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DESERT PHYSICAL MEDICINE · (Female)

NPI Number 1700363645
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2018
Last updated 07/24/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 20A6613
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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