Jitka Civrna | |
74000 Country Club Dr Ste G2 Palm Desert CA 92260 | |
(760) 773-4948 | |
(760) 773-4910 |
Full Name | Jitka Civrna |
---|---|
Speciality | Internal Medicine |
Location | 74000 Country Club Dr Ste G2, Palm Desert, California |
Authorized Official Name and Position | Jitka Civrna (PHYSICIAN) |
Authorized Official Contact | 7607734948 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jitka Civrna 74-000 Country Club Dr. #g2 Palm Desert CA 92260 Ph: (760) 773-4948 | Jitka Civrna 74000 Country Club Dr Ste G2 Palm Desert CA 92260 Ph: (760) 773-4948 |
NPI Number | 1053500926 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 08/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053500926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Faculty Physicians And Surgeons Of Llusm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41865 Boardwalk, Suite 103, Palm Desert, CA 92211 Phone: 760-341-5570 Fax: 909-558-3905 | |