National Provider Identifier Database

DESERT PHYSICAL MEDICINE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DESERT PHYSICAL MEDICINE
81765 HIGHWAY 111, STE #3
INDIO, CA92201
Phone: 760-863-5955
Fax: 760-863-5655
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for DESERT PHYSICAL MEDICINE

NPI Number 1700363645
Legal business name
LBN
DESERT PHYSICAL MEDICINE
Authorized official MARCO CAZARES - (GENERAL MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2018
Last updated 07/24/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 20A6613

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.

Reviews for DESERT PHYSICAL MEDICINE

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