Organization
DESERT ELITE OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE GOLDBAN MD (PRES)
(760) 444-0696
Entity
Organization
Contact information
Practice address
45175 PANORAMA DR STE F, PALM DESERT, CA 92260-4482
(760) 444-0696
(760) 444-3223
Mailing address
45175 PANORAMA DR STE F, PALM DESERT, CA 92260-4482
(760) 444-0696
(760) 444-3223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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