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44751 Village Ct Suite 300 Palm Desert CA 92260-3815 | |
(760) 779-9100 | |
(760) 779-8202 |
Full Name | |
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Speciality | General Practice |
Location | 44751 Village Ct, Palm Desert, California |
Authorized Official Name and Position | Hyman David Sacks (DIRECTOR) |
Authorized Official Contact | 7607799100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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44751 Village Ct Suite 300 Palm Desert CA 92260-3815 Ph: (760) 779-9100 | 44751 Village Ct Suite 300 Palm Desert CA 92260-3815 Ph: (760) 779-9100 |
NPI Number | 1053670372 |
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Provider Enumeration Date | 05/07/2012 |
Last Update Date | 09/24/2012 |
Identifier | Type | State | Issuer |
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1053670372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 20A4920 (California) | 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 | |
Jitka Civrna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 Phone: 760-773-4948 Fax: 760-773-4910 | |