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VEIN INSTITUTE OF THE DESERT NPI 1740637511


NPI Information

NPI: 1740637511
Provider Name: VEIN INSTITUTE OF THE DESERT

Other Name: JOAN L WARREN MEDICAL CORP

Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
74361 HIGHWAY 111 STE 5
PALM DESERT, CA
ZIP 92260
Phone: (760) 610-5573
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VEIN INSTITUTE OF THE DESERT is a medical genetics phd medical genetics in Palm Desert, CA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. VEIN INSTITUTE OF THE DESERT NPI is 1740637511. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Joan L Warren Medical Corp.

The provider's business location address is:

74361 HIGHWAY 111 STE 5
PALM DESERT, CA
ZIP 92260-125
Phone: (760) 610-5573
Fax: (760) 610-5601

The provider's authorized official is Tanya Lynn Sabala .
The authorized official title is Billing Specialist and has the following contact phone number (760) 610-5573.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 5/20/2016.


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
1170100000XMedical Genetics, Ph.D. Medical GeneticsG86215MISSOURIYes

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
11215227053MEDICAIDCALIFORNIA

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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