Organization
DESERT MEDICAL GROUP
Active
Organization
DESERT MEDICAL GROUP
Active
Other names
Living and Aging Well YV
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A BRANDON CPCS (CREDENTIALS MANAGER)
(760) 320-4122
Entity
Organization
Contact information
Practice address
56165 29 PALMS HWY, YUCCA VALLEY, CA 92284-2880
(760) 228-0351
(760) 365-9689
Mailing address
56165 29 PALMS HWY, YUCCA VALLEY, CA 92284-2880
(760) 228-0351
(760) 365-9689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/14/2007
Last updated
09/11/2025
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