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DESERT MEDICAL GROUP INC NPI 1154757698


NPI Information

NPI: 1154757698
Provider Name: DESERT MEDICAL GROUP, INC

Doing Business As: DESERT REGIONAL IMMEDIATE CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D0671453

Address:
72605 HIGHWAY 111
PALM DESERT, CA
ZIP 92260
Phone: (760) 323-8657
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DESERT MEDICAL GROUP, INC is an urgent care clinic center in Palm Desert, CA. DESERT MEDICAL GROUP, INC NPI is 1154757698. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Regional Immediate Care.

The provider's business location address is:

72605 HIGHWAY 111
PALM DESERT, CA
ZIP 92260-392
Phone: (760) 323-8657
Fax: (760) 318-9083

The provider's authorized official is Helene Leclair .
The authorized official title is Vp Network Administration and has the following contact phone number (760) 323-8657.

The CLIA number assigned to this NPI record is 05D0671453 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 9/16/2013.


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
1261QU0200XClinic/CenterUrgent CareYes

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
1ZZZ94367ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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