Organization
DESERT OASIS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO L FARINHA M.D. (PRESIDENT)
(760) 446-2984
Entity
Organization
Contact information
Practice address
1041 N CHINA LAKE BLVD STE A, RIDGECREST, CA 93555-3169
(760) 446-2984
(760) 446-2987
Mailing address
1041 N CHINA LAKE BLVD STE A, RIDGECREST, CA 93555-3169
(760) 446-2984
(760) 446-2987
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A63404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A634040
BLUE SHIELD
—
01
—
1122817
FIRST HEALTH NETWORK
—
01
—
11631144
CAQH
—
01
—
5474655
AETNA
—
01
—
611724900
US DEPT OF LABOR
—
05
—
7098137
—
CA
01
—
G63714
UPIN
—
01
—
P00340424
RAILROAD MEDICARE
—
Enumeration date
02/27/2008
Last updated
03/07/2023
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