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Organization
RANCHO MIRAGE FAMILY GROUP INC A MEDICAL CORPORATION
Active
Organization
RANCHO MIRAGE FAMILY GROUP INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURRAY D. TAYLOR M.D. (OWNER)
(760) 773-3379
Entity
Organization
Contact information
Practice address
39300 BOB HOPE DRIVE, BANNAN BLDG., STE, 1105, RANCHO MIRAGE, CA 92270-3203
(760) 773-3379
(760) 568-3679
Mailing address
39300 BOB HOPE DRIVE, BANNAN BLDG., STE, 1105, RANCHO MIRAGE, CA 92270-3203
(760) 773-3379
(760) 568-3679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A35629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080158581
RAILROAD MEDICARE
CA
01
—
1720011166
GROUP NPI
CA
01
—
ZZZ01311Z
BLUE SHIELD OF CA
CA
01
—
ZZZ21403Z
MEDICARE
CA
Enumeration date
07/09/2006
Last updated
06/18/2015
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