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1100 N Palm Canyon Dr # 104-106 Palm Springs CA 92262-4414 | |
| (760) 327-1188 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N Palm Canyon Dr # 104-106, Palm Springs, California |
| Authorized Official Name and Position | Judy Stith (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7603232118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 1100 N Palm Canyon Dr # 104-106 Palm Springs CA 92262-4414 Ph: (760) 327-1188 |
| NPI Number | 1730712183 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 06/06/2024 |
| Medicare PECOS PAC ID | 6002989522 |
|---|---|
| Medicare Enrollment ID | O20240606003751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730712183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Cali Solutions, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Sunrise Way Ste A901, Palm Springs, CA 92262 Phone: 760-835-4041 Fax: 760-406-8515 | |
Oasis Advanced Gastroenterology, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N Palm Canyon Dr Ste 214, Palm Springs, CA 92262 Phone: 760-699-7607 | |
Dave Patel, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262 Phone: 760-323-6830 | |
James W Shaner M D A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 S Civic Dr, Ste 4, Palm Springs, CA 92262 Phone: 760-864-6688 Fax: 760-864-6686 | |
Edmund Ayoub, Jr., M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3655 E Ramon Rd, Palm Springs, CA 92264 Phone: 760-835-4229 |