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DESERT MEDICAL GROUP/LIVING AND AGING WELL NPI 1154312619


NPI Information

NPI: 1154312619
Provider Name: DESERT MEDICAL GROUP/LIVING AND AGING WELL

Doing Business As: DESERT OASIS HEALTHCARE

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
68860 PEREZ RD
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 328-4499
Get Directions

DESERT MEDICAL GROUP/LIVING AND AGING WELL is a geriatric medicine family medicine in Cathedral City, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DESERT MEDICAL GROUP/LIVING AND AGING WELL NPI is 1154312619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Desert Oasis Healthcare.

The provider's business location address is:

68860 PEREZ RD
CATHEDRAL CITY, CA
ZIP 92234-249
Phone: (760) 328-4499
Fax: (760) 320-2725

The provider's authorized official is Helene Leclair .
The authorized official title is Administrator and has the following contact phone number (760) 320-4122.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 11/20/2007.


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
1133V00000XDietitian, RegisteredNo
2207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ26628ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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