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340 S Farrell Dr Ste A208 Palm Springs CA 92262-7931 | |
| (760) 202-4308 | |
| (760) 818-8025 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 S Farrell Dr Ste A208, Palm Springs, California |
| Authorized Official Name and Position | Thomi Clinton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7602024308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
340 S Farrell Dr Ste A208 Palm Springs CA 92262-7931 Ph: (760) 202-4308 | 340 S Farrell Dr Ste A208 Palm Springs CA 92262-7931 Ph: (760) 202-4308 |
| NPI Number | 1447740824 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 4284047812 |
|---|---|
| Medicare Enrollment ID | O20221206001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447740824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Scott E Nass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477783827 PECOS PAC ID: 2062680002 Enrollment ID: I20110719000429 |
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