# DAVID S WILGARDE M D 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578011599
- **Authorized official:** DAVID S WILGARDE M.D. (PRESIDENT)
- **Authorized official phone:** (760) 619-2309

## Contact information

- **Practice address:** 3001 E TAHQUITZ CANYON WAY STE 108, PALM SPRINGS, CA 92262-6900
- **Practice address phone:** (760) 320-4292
- **Practice address fax:** (760) 322-9475
- **Mailing address:** 51753 EL DORADO DR, LA QUINTA, CA 92253-9034
- **Mailing address phone:** (760) 619-2309
- **Mailing address fax:** (866) 428-0708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | G74463 | CA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | G74463 | CA | — |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 06/02/2024