Addiction Medicine Consulting | |
559 S Palm Canyon Dr Ste 207 Palm Springs CA 92264-7468 | |
(951) 852-6284 | |
Not Available |
Full Name | Addiction Medicine Consulting |
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Speciality | Clinic/center - Primary Care |
Location | 559 S Palm Canyon Dr Ste 207, Palm Springs, California |
Authorized Official Name and Position | James Datson Herndon (PRESIDENT) |
Authorized Official Contact | 2068528815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Addiction Medicine Consulting 559 S Palm Canyon Dr Ste 207 Palm Springs CA 92264-7468 Ph: (951) 852-6284 | Addiction Medicine Consulting 559 S Palm Canyon Dr Ste 207 Palm Springs CA 92264-7468 Ph: (951) 852-6284 |
NPI Number | 1265819288 |
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Provider Enumeration Date | 04/28/2015 |
Last Update Date | 04/28/2015 |
Identifier | Type | State | Issuer |
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1265819288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 16694 (California) | Primary |
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