Organization
DESERT REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFA BOUKARROU MD (MEDICAL DIRECTOR NEUROLOGY)
(949) 402-6255
Entity
Organization
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
9313 NATIONAL BLVD APT 105, LOS ANGELES, CA 90034-2945
(213) 568-8195
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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