Organization
EISENHOWER MEDICAL CENTER
Active
Parent organization
EISENHOWER MEDICAL CENTER
Other names
Eisenhower Occupational Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EISENHOWER MEDICAL CENTER
Authorized official
KIM MARIE ULLRICH (DIRECTOR)
(760) 770-1277
Entity
Organization
Contact information
Practice address
78822 HIGHWAY 111, LA QUINTA, CA 92253-2046
(760) 777-7701
(760) 328-2191
Mailing address
78822 HIGHWAY 111, LA QUINTA, CA 92253-2046
(760) 777-7701
(760) 328-2191
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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