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Organization

DESERT CARDIOLOGY CONSULTANTS MEDICAL GROUP

Active
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Organization

DESERT CARDIOLOGY CONSULTANTS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA DAVIS (BUSINESS OFFICE SUPERVISOR)
(760) 346-0642
Entity
Organization

Contact information

Practice address
39000 BOB HOPE DR, HAL B WALLIS BLDG, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
Mailing address
39000 BOB HOPE DR, HAL B WALLIS BLDG, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS6505
RAILROAD MEDICARE
CA
05
ZZZ71563Z
CA
Enumeration date
05/27/2006
Last updated
05/12/2008
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