| |
35800 Bob Hope Dr Ste 225 Rancho Mirage CA 92270-1740 | |
(760) 673-7010 | |
(760) 673-7911 |
Full Name | |
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Speciality | Clinic/Center |
Location | 35800 Bob Hope Dr Ste 225, Rancho Mirage, California |
Authorized Official Name and Position | Shane Ryan Speirs (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6024910701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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840 E Mckellips Rd Ste 105 Mesa AZ 85203-9654 Ph: (602) 491-0701 | 35800 Bob Hope Dr Ste 225 Rancho Mirage CA 92270-1740 Ph: (760) 673-7010 |
NPI Number | 1750129672 |
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Provider Enumeration Date | 07/16/2024 |
Last Update Date | 12/02/2024 |
Medicare PECOS PAC ID | 1355875741 |
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Medicare Enrollment ID | O20241107001614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750129672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Terry L Croasdale |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295713147 PECOS PAC ID: 2163460460 Enrollment ID: I20050418001179 |
Provider Name | Humayun Abbas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336136548 PECOS PAC ID: 9335153063 Enrollment ID: I20080618000416 |
Provider Name | Barbara Kennedy-funtila |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700874260 PECOS PAC ID: 3274547906 Enrollment ID: I20080628000138 |
Provider Name | James W Boozer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427046986 PECOS PAC ID: 1850305582 Enrollment ID: I20080724000678 |
Provider Name | Bradley S Blankenship |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619923810 PECOS PAC ID: 9032264478 Enrollment ID: I20090909000161 |
Provider Name | Giang N Lam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033198288 PECOS PAC ID: 0941226187 Enrollment ID: I20110329000413 |
Provider Name | Sayda Fink |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538542303 PECOS PAC ID: 8527362342 Enrollment ID: I20190201002030 |
Provider Name | Nishant U Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902399231 PECOS PAC ID: 7810242492 Enrollment ID: I20210804004081 |
Provider Name | Shane Ryan Speirs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427589498 PECOS PAC ID: 0648695080 Enrollment ID: I20241107001724 |
Concept Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35400 Bob Hope Dr, Suite # 209, Rancho Mirage, CA 92270 Phone: 760-699-7117 Fax: 760-699-7750 | |
Mary A Howell Md A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70940 Jasmine Ln, Rancho Mirage, CA 92270 Phone: 760-340-3611 Fax: 760-340-2252 | |
R Jeffrey Heilpern Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39700 Bob Hope Drive, Suite 110, Rancho Mirage, CA 92270 Phone: 760-340-5545 Fax: 760-346-6208 | |
360 Wellness Solutions Physical Therapy And Rehabilitation Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Loch Lomond Rd, Rancho Mirage, CA 92270 Phone: 760-832-8025 |