Desert Primary Care Medical Associates, Inc. | |
1492 N Palm Canyon Dr Palm Springs CA 92262-4412 | |
(760) 322-5156 | |
(760) 322-4021 |
Full Name | Desert Primary Care Medical Associates, Inc. |
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Speciality | Internal Medicine |
Location | 1492 N Palm Canyon Dr, Palm Springs, California |
Authorized Official Name and Position | William Joseph Grimm (PRESIDENT) |
Authorized Official Contact | 7603225156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Primary Care Medical Associates, Inc. 1492 N Palm Canyon Dr Palm Springs CA 92262-4412 Ph: (760) 322-5156 | Desert Primary Care Medical Associates, Inc. 1492 N Palm Canyon Dr Palm Springs CA 92262-4412 Ph: (760) 322-5156 |
NPI Number | 1841200748 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 06/05/2023 |
Medicare PECOS PAC ID | 1254318470 |
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Medicare Enrollment ID | O20040706000506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841200748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A6067 (California) | Primary |
Provider Name | William J Grimm |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407841315 PECOS PAC ID: 5799771127 Enrollment ID: I20040421001897 |
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