Organization
DESERT INTEGRATIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS Z IZATT (CHIEF OPERATING OFFICER)
(800) 214-8618
Entity
Organization
Contact information
Practice address
41865 BOARDWALK, SUITE 103, PALM DESERT, CA 92211-9026
(760) 340-2260
(760) 341-5051
Mailing address
41865 BOARDWALK, SUITE 103, PALM DESERT, CA 92211-9026
(760) 340-2260
(760) 341-5051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
CA
Other
Enumeration date
04/15/2014
Last updated
04/24/2014
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