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12010 Palm Dr Desert Hot Springs CA 92240-3902 | |
(760) 251-6600 | |
(760) 251-8587 |
Full Name | |
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Speciality | Clinic/center |
Location | 12010 Palm Dr, Desert Hot Springs, California |
Authorized Official Name and Position | Martin R Juarez (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7602516600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12010 Palm Dr Desert Hot Springs CA 92240-3902 Ph: (760) 251-6600 | 12010 Palm Dr Desert Hot Springs CA 92240-3902 Ph: (760) 251-6600 |
NPI Number | 1174727507 |
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Provider Enumeration Date | 06/11/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174727507 | NPI | - | NPPES |
1699771436 | Other | PROVIDER NPI NUMBER | |
08281TLG | Other | CA | BOARD OF OPTOMETRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 08281TLG (California) | Primary |
World Gym Dhs Success Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12155 Palm Dr, Desert Hot Springs, CA 92240 Phone: 760-329-8504 | |