Organization
DESERT OPHTHALMOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE F GOLDBAN MD (OPHTHALMOLOGY)
(760) 320-8497
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE W100, PALM SPRINGS, CA 92262-4834
(760) 320-8497
(760) 320-5444
Mailing address
1180 N INDIAN CANYON DR STE E130, PALM SPRINGS, CA 92262-4876
(760) 320-8497
(760) 320-5444
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G077969
CA
Other
Enumeration date
11/28/2006
Last updated
07/17/2025
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