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W.RAY HENDERSON MD INC NPI 1821291923


NPI Information

NPI: 1821291923
Provider Name: W.RAY HENDERSON MD INC

Other Name: RENAISSANCE COSMETIC SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
73180 EL PASEO
PALM DESERT, CA
ZIP 92260
Phone: (760) 346-3810
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W.RAY HENDERSON MD INC is an ambulatory surgical clinic center in Palm Desert, CA. W.RAY HENDERSON MD INC NPI is 1821291923. The provider is registered as an organization entity type.
The provider Other Name Is Renaissance Cosmetic Surgery.

The provider's business location address is:

73180 EL PASEO
PALM DESERT, CA
ZIP 92260-218
Phone: (760) 346-3810
Fax: (760) 346-3083

The provider's authorized official is Ray Henderson .
The authorized official title is Medical Director and has the following contact phone number (760) 346-3810.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 11/28/2011.


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
1261QA1903XClinic/CenterAmbulatory SurgicalC24144CALIFORNIAYes

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
1A32560MEDICARE UPINCALIFORNIA
2250030001824OTHERCALIFORNIAASC PROVIDER NUMBER

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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