| |
68860 Perez Rd, Cathedral City, CA 92234-7249 | |
(760) 328-4499 | |
(760) 320-2725 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine - Geriatric Medicine |
Location | 68860 Perez Rd, Cathedral City, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154312619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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275 N El Cielo Rd, Palm Springs, CA 92262-6972 Ph: (760) 320-4122 | 68860 Perez Rd, Cathedral City, CA 92234-7249 Ph: (760) 328-4499 |