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DESERT OPHTHALMOLOGY MEDICAL CORPORATION NPI 1699392506


NPI Information

NPI: 1699392506
Provider Name: DESERT OPHTHALMOLOGY MEDICAL CORPORATION
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D2169105

Address:
72650 FRED WARING DR STE 109
PALM DESERT, CA
ZIP 92260
Phone: (760) 776-8600
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DESERT OPHTHALMOLOGY MEDICAL CORPORATION 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. DESERT OPHTHALMOLOGY MEDICAL CORPORATION NPI is 1699392506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

72650 FRED WARING DR STE 109
PALM DESERT, CA
ZIP 92260-008
Phone: (760) 776-8600

The provider's authorized official is Wallace Franklin Goldban .
The authorized official title is Practice Owner and has the following contact phone number (760) 320-8497.

The CLIA number assigned to this NPI record is 05D2169105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 6/26/2020.


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

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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