Organization
DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC
Active
Other names
DESERT ORTHOPEDIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW V DILTZ M.D. (VICE CHAIRMAN & OWNER)
(760) 766-1246
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BLDG, BLDG FL 2 RM 1 RM, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
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TAX I.D. #
CA
Enumeration date
09/26/2006
Last updated
02/20/2024
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