Organization
DESERT PET IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE K BALDWIN (COO)
(805) 370-0200
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, ROOM E-155, PALM SPRINGS, CA 92262-4800
(760) 327-8000
(760) 327-8003
Mailing address
250 N WESTLAKE BLVD, SUITE 220, WESTLAKE VILLAGE, CA 91362-3700
(805) 370-0200
(805) 370-0205
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
EXEMPT
CA
Other
Enumeration date
05/18/2006
Last updated
09/27/2007
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