| Desert Hospitalist Group Inc | |
|
1150 N Indian Canyon Dr Palm Springs CA 92262-4872 | |
| (619) 471-4372 | |
| (888) 307-8495 |
| Full Name | Desert Hospitalist Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1150 N Indian Canyon Dr, Palm Springs, California |
| Authorized Official Name and Position | Gerardo Martin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6194714372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Hospitalist Group Inc 2783 Silver Oak Ct Chula Vista CA 91914-2655 Ph: (619) 471-4372 | Desert Hospitalist Group Inc 1150 N Indian Canyon Dr Palm Springs CA 92262-4872 Ph: (619) 471-4372 |
| NPI Number | 1003355348 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Medicare PECOS PAC ID | 4981974920 |
|---|---|
| Medicare Enrollment ID | O20170724002494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003355348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100776 (California) | Primary |
| 207Q00000X | Family Medicine | 20A1335 (California) | Secondary |
| 207R00000X | Internal Medicine | 20A9554 (California) | Secondary |
| Provider Name | Gerardo Burgos Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295925360 PECOS PAC ID: 9436237500 Enrollment ID: I20080415000813 |
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