Organization
DESERT EYE ASSOCIATES A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XU SHAO HUANG OD (MANAGER)
(760) 342-6900
Entity
Organization
Contact information
Practice address
37029 COOK ST STE 105, PALM DESERT, CA 92211-2968
(760) 342-6900
Mailing address
79710 HIGHWAY 111 STE 101, LA QUINTA, CA 92253-6516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
08/09/2017
Last updated
05/20/2020
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