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43500 Monterey Ave Palm Desert CA 92260-9305 | |
(760) 323-2118 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 43500 Monterey Ave, Palm Desert, California |
Authorized Official Name and Position | Judy Stith (CFO) |
Authorized Official Contact | 7609694516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1695 N Sunrise Way Palm Springs CA 92262-3701 Ph: (760) 323-2118 | 43500 Monterey Ave Palm Desert CA 92260-9305 Ph: (760) 323-2118 |
NPI Number | 1760169346 |
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Provider Enumeration Date | 07/05/2023 |
Last Update Date | 02/15/2024 |
Identifier | Type | State | Issuer |
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1760169346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Faculty Physicians And Surgeons Of Llusm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41865 Boardwalk, Suite 103, Palm Desert, CA 92211 Phone: 760-341-5570 Fax: 909-558-3905 | |
Jitka Civrna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 Phone: 760-773-4948 Fax: 760-773-4910 | |