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Organization
INTERNAL MEDICINE SPECIALISTS INC
Active
Organization
INTERNAL MEDICINE SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS LOPEZ M.D. (MEDICAL DIRECTOR)
(760) 773-9750
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR, SUITE 100, RANCHO MIRAGE, CA 92270-4126
(760) 773-9750
(760) 773-9294
Mailing address
PO BOX 2366, RANCHO MIRAGE, CA 92270-1086
(760) 773-9750
(760) 773-9294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
11/02/2007
Last updated
12/02/2008
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