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NPI Code Detail

MEDICARE: MYDOCTORS, INC., A PROFESSIONAL MEDICAL CORPORATION

MEDICARE: MYDOCTORS, INC., A PROFESSIONAL MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1568185700
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYDOCTORS, INC., A PROFESSIONAL MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 1222 PALMAS RDG
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-1259
Country : US
Telephone Number :
Fax Number : 236-471-1730
Provider Business Practice Location Address
First Line : 555 E TACHEVAH DR STE 3W105
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-5747
Country : US
Telephone Number : 916-936-2722
Fax Number : 236-471-1730
Authorized Official
Title or Position : PHYSICIAN/CEO
Name : DR. JULIUS MUSENZE
Credential : D.O
Telephone Number : 612-205-5793
Provider Enumeration Date : 09/22/2022
Last Update Date : 09/22/2022

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Directions to “MYDOCTORS, INC., A PROFESSIONAL MEDICAL CORPORATION ” Practice Location

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