Organization
DESERT CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCDONALD (ADMIN MANAGER)
(949) 783-3600
Entity
Organization
Contact information
Practice address
36101 BOB HOPE DR, STE B-2, RANCHO MIRAGE, CA 92270-2001
(760) 321-1315
(760) 321-1094
Mailing address
3857 BIRCH ST, #605, NEWPORT BEACH, CA 92660-2616
(949) 783-3600
(949) 783-3602
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A80383
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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