Organization
HEALTH CENTER MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD VEZINA DR (DIRECTOR)
(833) 649-4628
Entity
Organization
Contact information
Practice address
36101 BOB HOPE DR STE E2, RANCHO MIRAGE, CA 92270-2006
(833) 649-4628
(833) 649-4628
Mailing address
36101 BOB HOPE DR STE E2, RANCHO MIRAGE, CA 92270-2006
(833) 649-4628
(833) 649-4628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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