# MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Pain & Rehabilitation Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356751689
- **Authorized official:** ALBERT LAI M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (760) 341-5550

## Contact information

- **Practice address:** 72780 COUNTRY CLUB DR, SUITE C300, RANCHO MIRAGE, CA 92270-4126
- **Practice address phone:** (760) 341-5550
- **Practice address fax:** (760) 341-6050
- **Mailing address:** 72780 COUNTRY CLUB DR, SUITE C300, RANCHO MIRAGE, CA 92270-4126
- **Mailing address phone:** (760) 341-5550
- **Mailing address fax:** (760) 341-6050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 05/08/2014
- **Last updated:** 05/07/2015