# EMPIRE PHYSICIANS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1750454260
- **Authorized official:** MS. YVONNE SONNENBERG MHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (760) 770-8678

## Contact information

- **Practice address:** 34160 GATEWAY DR STE 100, PALM DESERT, CA 92211-0852
- **Practice address phone:** (760) 770-8678
- **Practice address fax:** (760) 770-7609
- **Mailing address:** 34160 GATEWAY DR STE 100, PALM DESERT, CA 92211-0852
- **Mailing address phone:** (760) 770-8678
- **Mailing address fax:** (760) 770-7609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | FNP28851 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 03/06/2013