Organization
JAY D. ROBERTS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D ROBERTS M.D. (OWNER)
(760) 200-3336
Entity
Organization
Contact information
Practice address
73271 FRED WARING DR STE 102, PALM DESERT, CA 92260-2889
(760) 200-3336
(730) 200-0026
Mailing address
73271 FRED WARING DR STE 102, PALM DESERT, CA 92260-2889
(760) 200-3336
(730) 200-0026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C406650
BLUE SHIELD OF CA
CA
01
—
250014274
RAILROAD MEDICARE
CA
Enumeration date
07/16/2006
Last updated
01/12/2010
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