Organization
MIRAGE ON CALL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLMAZ B AZAR M.D. (CHAIRMAN OF THE BOARD)
(760) 346-5688
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, PROBST BUILDING, SUITE 308, RANCHO MIRAGE, CA 92270-3221
(760) 346-5688
Mailing address
39000 BOB HOPE DR, PROBST BUILDING, SUITE 308, RANCHO MIRAGE, CA 92270-3221
(760) 346-5688
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A102790
CA
Other
Enumeration date
04/15/2009
Last updated
05/29/2009
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