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Organization
SAIRWAA T. PREVOST, M.D., INC.
Active
Organization
SAIRWAA T. PREVOST, M.D., INC.
Active
Other names
Age Right Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRWAA TANDEE PREVOST M.D. (MEDICAL DIRECTOR)
(646) 489-3312
Entity
Organization
Contact information
Practice address
35400 BOB HOPE DR, SUITE 107, RANCHO MIRAGE, CA 92270-1772
(646) 489-3312
Mailing address
1400 E TAHQUITZ CANYON WAY, ROOM 323, PALM SPRINGS, CA 92262-6722
(646) 489-2212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C51315
CA
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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