Healthcare Provider Details

I. General information

NPI: 1235705369
Provider Name (Legal Business Name): MRS. ELIZABETH MONTES DE OCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2021
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 DISTRICT CENTER DR
PALM SPRINGS CA
92264-3626
US

IV. Provider business mailing address

150 DISTRICT CENTER DR
PALM SPRINGS CA
92264-3626
US

V. Phone/Fax

Practice location:
  • Phone: 760-459-8922
  • Fax: 760-325-8723
Mailing address:
  • Phone: 760-459-8922
  • Fax: 760-325-8723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW83212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: