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DESERT MEDICAL GROUP-DESERT SPECIALTY GROUP NPI 1487645933


NPI Information

NPI: 1487645933
Provider Name: DESERT MEDICAL GROUP-DESERT SPECIALTY GROUP

Doing Business As: DESERT OASIS HEALTHCARE

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 05D1002959

Address:
69844 HIGHWAY 111
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 318-4869
Get Directions

DESERT MEDICAL GROUP-DESERT SPECIALTY GROUP is an allergy immunology in Rancho Mirage, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DESERT MEDICAL GROUP-DESERT SPECIALTY GROUP NPI is 1487645933. 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:

69844 HIGHWAY 111
RANCHO MIRAGE, CA
ZIP 92270-849
Phone: (760) 318-4869
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 CLIA number assigned to this NPI record is 05D1002959 - physician office with a certificate type of Certificate of Waiver.

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
1207RG0100XInternal MedicineGastroenterologyNo
2213EP1101XPodiatristPrimary Podiatric MedicineNo
3207K00000XAllergy & ImmunologyYes

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
1ZZZ00919ZMEDICARE 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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