# DESERT OPHTHALMOLOGY MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1386710564
- **Authorized official:** DR. WALLACE F GOLDBAN MD (OPHTHALMOLOGY)
- **Authorized official phone:** (760) 320-8497

## Contact information

- **Practice address:** 1180 N INDIAN CANYON DR, SUITE W100, PALM SPRINGS, CA 92262-4834
- **Practice address phone:** (760) 320-8497
- **Practice address fax:** (760) 320-5444
- **Mailing address:** 1180 N INDIAN CANYON DR STE E130, PALM SPRINGS, CA 92262-4876
- **Mailing address phone:** (760) 320-8497
- **Mailing address fax:** (760) 320-5444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G077969 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 07/17/2025