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Contact Information

DESERT NEUROLOGY MEDICAL GROUP
39000 BOB HOPE DRIVE
PROBST BLDG 311
RANCHO MIRAGE, CA92270
 Phone: 760-568-3563
 Fax: 760-346-9887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for DESERT NEUROLOGY MEDICAL GROUP · (Female)

NPI # 1205802717
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2006
Last updated 09/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A30151
  • CA Medicaid 00A301510
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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