# CANYON PALMS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023799376
- **Authorized official:** MICHELLE SOTO (BILLING MANAGER)
- **Authorized official phone:** (760) 793-1789

## Contact information

- **Practice address:** 1221 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4875
- **Practice address phone:** (760) 810-7590
- **Mailing address:** 72650 FRED WARING DR STE 206, PALM DESERT, CA 92260-5009
- **Mailing address phone:** (760) 793-1789
- **Mailing address fax:** (760) 560-5953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 07/28/2023