Organization
VEIN INSTITUTE OF THE DESERT
Active
Organization
VEIN INSTITUTE OF THE DESERT
Active
Other names
Joan L Warren Medical Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TANYA LYNN SABALA (BILLING SPECIALIST)
(760) 610-5573
Entity
Organization
Contact information
Practice address
74361 HIGHWAY 111 STE 5, PALM DESERT, CA 92260-4125
(760) 610-5573
(760) 610-5601
Mailing address
74361 HWY 111 SUITE 5, PALM DESERT, CA 92260
(760) 610-5573
(760) 610-5601
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
G86215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215227053
—
CA
Enumeration date
05/20/2016
Last updated
05/20/2016
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