Will Family Medical Group, A Professional Corporation | |
42575 Washington St Palm Desert CA 92211-8850 | |
(760) 360-0333 | |
Not Available |
Full Name | Will Family Medical Group, A Professional Corporation |
---|---|
Speciality | Family Medicine |
Location | 42575 Washington St, Palm Desert, California |
Authorized Official Name and Position | Michael Lawrence Will (OWNER) |
Authorized Official Contact | 9894667094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Will Family Medical Group, A Professional Corporation 42575 Washington St Palm Desert CA 92211-8850 Ph: (760) 360-0333 | Will Family Medical Group, A Professional Corporation 42575 Washington St Palm Desert CA 92211-8850 Ph: (760) 360-0333 |
NPI Number | 1356875157 |
---|---|
Provider Enumeration Date | 04/18/2017 |
Last Update Date | 04/12/2024 |
Medicare PECOS PAC ID | 5193095115 |
---|---|
Medicare Enrollment ID | O20170725002020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356875157 | NPI | - | NPPES |
A136246 | Other | CA | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A136246 (California) | Primary |
Provider Name | Lawrence A Mora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205851615 PECOS PAC ID: 6305820846 Enrollment ID: I20040614001239 |
Provider Name | Frank T Kerrigan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730155730 PECOS PAC ID: 3476620899 Enrollment ID: I20080926000239 |
Provider Name | Dzenan Lulic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356503791 PECOS PAC ID: 7517193816 Enrollment ID: I20131114001591 |
Provider Name | Michael Lawrence Will |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073876090 PECOS PAC ID: 6507096617 Enrollment ID: I20150717000676 |
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 | |