# DESERT ELITE EYE GROUP INC

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

## Provider details

- **NPI number:** 1023886512
- **Authorized official:** WALLLACE GOLDBAN MD (CEO)
- **Authorized official phone:** (760) 880-3850

## Contact information

- **Practice address:** 1180 N INDIAN CANYON DR STE E130, PALM SPRINGS, CA 92262-4876
- **Practice address phone:** (760) 776-8600
- **Practice address fax:** (760) 776-8400
- **Mailing address:** 1180 N INDIAN CANYON DR STE E130, PALM SPRINGS, CA 92262-4876
- **Mailing address phone:** (760) 776-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2023
- **Last updated:** 02/09/2024
