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Organization

DESERT MEDICAL IMAGING, A MEDICAL CORPORATION

Active
Other names
DESERT MEDICAL IMAGING
Organization subpart
No

Provider details

NPI number
Authorized official
CORY HAMMOND (CFO)
(760) 776-8989
Entity
Organization

Contact information

Practice address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 776-8989
(760) 779-8073
Mailing address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 776-8989
(760) 779-8073

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP25453
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0083070
CA
01
ZZZ57290Z
BLUE CROSS GROUP ID
CA
Enumeration date
07/21/2005
Last updated
04/03/2019
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