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66675 Pierson Blvd Desert Hot Springs CA 92240-3737 | |
(760) 676-5240 | |
(858) 634-6946 |
Full Name | |
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Speciality | Clinic/Center |
Location | 66675 Pierson Blvd, Desert Hot 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 |
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1695 N. Sunrise Way Palm Springs CA 92262 Ph: (760) 323-2118 | 66675 Pierson Blvd Desert Hot Springs CA 92240-3737 Ph: (760) 676-5240 |
NPI Number | 1275849283 |
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Provider Enumeration Date | 08/27/2010 |
Last Update Date | 08/09/2024 |
Medicare PECOS PAC ID | 6002989522 |
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Medicare Enrollment ID | O20240413000260 |
Identifier | Type | State | Issuer |
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1275849283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |