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Organization

DESERT ORTHOPEDIC SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARON HENDERSON (CAO CFO)
(760) 568-2684
Entity
Organization

Contact information

Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, 1ST FLOOR, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 837-2202
Mailing address
PO BOX 1810, RANCHO MIRAGE, CA 92270-1059
(760) 568-2684
(760) 837-2202

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CLN 1042
BOARD OF PHARMACY PERMIT
CA
Enumeration date
09/26/2006
Last updated
03/07/2023
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