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SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS NPI 1659313997


NPI Information

NPI: 1659313997
Provider Name: SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS

Doing Business As: INLAND RETINA CONSULTANTS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D1055221

Address:
36949 COOK ST STE 101
PALM DESERT, CA
ZIP 92211
Phone: (760) 340-2394
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SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS is an ophthalmology in Palm Desert, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS NPI is 1659313997. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Inland Retina Consultants.

The provider's business location address is:

36949 COOK ST STE 101
PALM DESERT, CA
ZIP 92211-080
Phone: (760) 340-2394
Fax: (760) 340-2369

The provider's authorized official is Clement K. Chan .
The authorized official title is President and has the following contact phone number (760) 340-2394.

The CLIA number assigned to this NPI record is 05D1055221 - health maintenance organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/12/2006 and was last updated on 9/25/2020.


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
1207W00000XOphthalmologyYes

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
1GR0069070MEDICAIDCALIFORNIA
2GR0069072MEDICAIDCALIFORNIA
3GR0069073MEDICAIDCALIFORNIA

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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