# DESERT ELITE OPTICAL LLC

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

## Provider details

- **NPI number:** 1730042268
- **Authorized official:** WALLACE GOLDBAN MD (PRES)
- **Authorized official phone:** (760) 444-0696

## Contact information

- **Practice address:** 45175 PANORAMA DR STE F, PALM DESERT, CA 92260-4482
- **Practice address phone:** (760) 444-0696
- **Practice address fax:** (760) 444-3223
- **Mailing address:** 45175 PANORAMA DR STE F, PALM DESERT, CA 92260-4482
- **Mailing address phone:** (760) 444-0696
- **Mailing address fax:** (760) 444-3223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025