Organization
DESERT MEDICAL IMAGING, A MEDICAL CORPORATION
Active
Other names
DESERT MEDICAL IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
CORY HAMMOND (CFO)
(760) 776-8989
Entity
Organization
Contact information
Practice address
1133 N PALM CANYON DR, STE B, PALM SPRINGS, CA 92262-4401
(760) 322-8883
(760) 325-2037
Mailing address
74785 US HIGHWAY 111, STE 101, INDIAN WELLS, CA 92210-7128
(760) 776-8989
(760) 779-8073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FNP25453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083071
—
CA
01
—
ZZZ02402Z
BLUE CROSS GROUP NUMBER
CA
Enumeration date
07/21/2005
Last updated
04/03/2019
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