Healthcare Provider Details

I. General information

NPI: 1346961968
Provider Name (Legal Business Name): INFINITY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36915 COOK STREET STE 103
PALM DESERT CA
92211
US

IV. Provider business mailing address

36915 COOK STREET STE 103
PALM DESERT CA
92211
US

V. Phone/Fax

Practice location:
  • Phone: 760-641-7217
  • Fax: 760-406-5636
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SANA KHAN
Title or Position: CEO
Credential: D.O.
Phone: 760-641-7217