# DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DESERT ORTHOPEDIC CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508967753
- **Authorized official:** MATTHEW V DILTZ M.D. (VICE CHAIRMAN & OWNER)
- **Authorized official phone:** (760) 766-1246

## Contact information

- **Practice address:** 39000 BOB HOPE DR, HARRY & DIANE RINKER BLDG, BLDG FL 2 RM 1 RM, RANCHO MIRAGE, CA 92270-3221
- **Practice address phone:** (760) 568-2684
- **Practice address fax:** (760) 341-5832
- **Mailing address:** PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
- **Mailing address phone:** (760) 568-2684
- **Mailing address fax:** (760) 341-5832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 02/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ========= | TAX I.D. \# | CA |