Healthcare Provider Details

I. General information

NPI: 1972777043
Provider Name (Legal Business Name): TOTAL HEALTH OF THE DESERT A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N PALM CANYON DR STE 205
PALM SPRINGS CA
92262-4426
US

IV. Provider business mailing address

1100 N PALM CANYON DR STE 205
PALM SPRINGS CA
92262-4426
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-4296
  • Fax: 760-320-9445
Mailing address:
  • Phone: 760-323-4296
  • Fax: 760-320-9445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC51805
License Number StateCA

VIII. Authorized Official

Name: GHALEB S SAABBAH
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 760-323-4296