Organization
TENET HEALTHSYSTEM DESERT INC.
Active
Other names
El Mirador Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE 110, PALM SPRINGS, CA 92262-4800
(760) 416-4607
(760) 416-4668
Mailing address
1180 N INDIAN CANYON DR, SUITE 110, PALM SPRINGS, CA 92262-4800
(760) 416-4607
(760) 416-4668
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01321G
—
CA
Enumeration date
09/14/2006
Last updated
06/03/2014
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