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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

NPI Number 1205802717
LBN Legal business name DESERT NEUROLOGY MEDICAL GROUP
Authorized official IVOR NAZARETH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2006
Last updated 09/08/2008 - About 18 years ago
Identifiers
CA License # A30151
CA Medicaid 00A301510
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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