# MIRAGE PAIN AND REHABILITATION ASSOCIATES A MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DESERT PAIN & REHABILITATION ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508925439
- **Authorized official:** DR. ALBERT LAI M.D. (PARTNER)
- **Authorized official phone:** (760) 341-5550

## Contact information

- **Practice address:** 72780 COUNTRY CLUB DR., SUITE C-300, RANCHO MIRAGE, CA 92270-4150
- **Practice address phone:** (760) 341-5550
- **Practice address fax:** (760) 341-6050
- **Mailing address:** PO BOX 38, RANCHO MIRAGE, CA 92270
- **Mailing address phone:** (760) 341-5550
- **Mailing address fax:** (760) 341-6050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | A86192 | CA | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 20A7784 | CA | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | A86192 | CA | Yes |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 02/25/2015