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Organization
ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
Active
Organization
ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERIN G.S. HAYES (AM)
(619) 204-8992
Entity
Organization
Contact information
Practice address
41990 COOK ST # F1006, PALM DESERT, CA 92211-6100
(760) 636-1067
(760) 568-9331
Mailing address
41990 COOK ST # F1006, PALM DESERT, CA 92211-6100
(760) 636-1067
(760) 568-9331
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
20A13043
CA
207Q00000X
Family Medicine Physician
—
NULL
Other
Enumeration date
04/13/2016
Last updated
09/30/2026
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