Healthcare Provider Details

I. General information

NPI: 1902245343
Provider Name (Legal Business Name): 24 HOUR URGENT CARE OF THE DESERT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 06/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82013 DR CARREON BLVD SUITE #G
INDIO CA
92201-4832
US

IV. Provider business mailing address

31938 TEMECULA PKWY SUITE # A337
TEMECULA CA
92592-6810
US

V. Phone/Fax

Practice location:
  • Phone: 760-775-9500
  • Fax: 760-775-0956
Mailing address:
  • Phone: 760-775-9500
  • Fax: 760-775-0956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY PIERCE MUDGE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 760-775-9500