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DESERT CLINIC LLC NPI 1063809812


NPI Information

NPI: 1063809812
Provider Name: DESERT CLINIC, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2071371

Address:
36101 BOB HOPE DR
STE B-2
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 321-1315
Get Directions

DESERT CLINIC, LLC is an interventional pain medicine pain medicine in Rancho Mirage, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DESERT CLINIC, LLC NPI is 1063809812. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

36101 BOB HOPE DR
STE B-2
RANCHO MIRAGE, CA
ZIP 92270-001
Phone: (760) 321-1315
Fax: (760) 321-1094

The provider's authorized official is Heather Mcdonald .
The authorized official title is Admin Manager and has the following contact phone number (949) 783-3600.

The CLIA number assigned to this NPI record is 05D2071371 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 4/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineA80383CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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