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Contact Information

CANCER RESOURCE CENTER OF THE DESERT
444 S. 8TH STREET
SUITE B3
EL CENTRO, CA92243
 Phone: 760-353-6571
 Fax: 760-353-6281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
 

Counselor

101Y00000X
 

Social Worker

104100000X
 

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for CANCER RESOURCE CENTER OF THE DESERT · (Female)

NPI # 1508642083
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2023
Last updated 08/02/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid 7617542
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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