National Provider Identifier Database

DESERT NEUROLOGY MEDICAL GROUP
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


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
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for DESERT NEUROLOGY MEDICAL GROUP

NPI Number 1205802717
Legal business name
LBN
DESERT NEUROLOGY MEDICAL GROUP
Authorized official IVOR NAZARETH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/24/2006
Last updated 09/08/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A30151
  • CA Medicaid: 00A301510

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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