| |
73211 Fred Waring Dr Ste 101 Palm Desert CA 92260-2888 | |
(760) 837-0321 | |
(626) 791-9005 |
Full Name | |
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Speciality | Family Medicine |
Location | 73211 Fred Waring Dr Ste 101, Palm Desert, California |
Authorized Official Name and Position | Homayoun Siman (MD) |
Authorized Official Contact | 6267919004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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73211 Fred Waring Dr Ste 101 Palm Desert CA 92260-2888 Ph: (760) 837-0321 | 73211 Fred Waring Dr Ste 101 Palm Desert CA 92260-2888 Ph: (760) 837-0321 |
NPI Number | 1356843973 |
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Provider Enumeration Date | 02/28/2018 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 9931456779 |
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Medicare Enrollment ID | O20180724004170 |
Identifier | Type | State | Issuer |
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1356843973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A140616 (California) | Primary |
Provider Name | Homayoun Siman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477971125 PECOS PAC ID: 2567728777 Enrollment ID: I20171103001112 |
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