| Desert Neurology Medical Group | |
|
39000 Bob Hope Drive Probst Bldg 311 Rancho Mirage CA 92270 | |
| (760) 568-3563 | |
| (760) 346-9887 |
| Full Name | Desert Neurology Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 39000 Bob Hope Drive, Rancho Mirage, California |
| Authorized Official Name and Position | Ivor J Nazareth (OWNER) |
| Authorized Official Contact | 7605683563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Neurology Medical Group 39000 Bob Hope Drive Probst Bldg 311 Rancho Mirage CA 92270 Ph: (760) 568-3563 | Desert Neurology Medical Group 39000 Bob Hope Drive Probst Bldg 311 Rancho Mirage CA 92270 Ph: (760) 568-3563 |
| NPI Number | 1205802717 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205802717 | NPI | - | NPPES |
| 00A301510 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A30151 (California) | Primary |
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