Individual
HARRY LIFSCHUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81709 DR CARREON BLVD, STE D1, INDIO, CA 92201-5578
(760) 775-3001
(760) 775-3115
Mailing address
14120 ALONDRA BLVD, SUITE C, SANTA FE SPRINGS, CA 90670-5820
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G42802
CA
2086S0129X
Vascular Surgery Physician
Primary
G42802
CA
208D00000X
General Practice Physician
G42802
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G42802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G428020
—
CA
Enumeration date
09/17/2006
Last updated
05/24/2019
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