Healthcare Provider Details

I. General information

NPI: 1437060043
Provider Name (Legal Business Name): NOBELLE ANGELA LINTAG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S SUNRISE WAY STE 112-113
PALM SPRINGS CA
92264-7869
US

IV. Provider business mailing address

555 S SUNRISE WAY STE 112-113
PALM SPRINGS CA
92264-7869
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-1973
  • Fax:
Mailing address:
  • Phone: 760-323-1973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: