Healthcare Provider Details

I. General information

NPI: 1114135415
Provider Name (Legal Business Name): ROBERT NEAL ROUZIER, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E TAHQUITZ CANYON WAY #B200
PALM SPRINGS CA
92262-6906
US

IV. Provider business mailing address

2825 E TAHQUITZ CANYON WAY #B200
PALM SPRINGS CA
92262-6906
US

V. Phone/Fax

Practice location:
  • Phone: 760-320-4292
  • Fax: 760-322-9475
Mailing address:
  • Phone: 760-320-4292
  • Fax: 760-322-9475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA35623
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA12724
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT NEAL ROUZIER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 760-320-4292