# ROLAND D REINHART M D A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1285615955
- **Authorized official:** ANDREA BOLANOS (ADMINISTRATOR)
- **Authorized official phone:** (760) 341-2360

## Contact information

- **Practice address:** 39800 PORTOLA AVE, PALM DESERT, CA 92260-0620
- **Practice address phone:** (760) 341-2360
- **Practice address fax:** (760) 346-5940
- **Mailing address:** PO BOX 14170, PALM DESERT, CA 92255-4170
- **Mailing address phone:** (760) 341-2360
- **Mailing address fax:** (760) 346-5940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | A49097 | CA | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 10/24/2023
