Healthcare Provider Details

I. General information

NPI: 1811991847
Provider Name (Legal Business Name): MICHAEL R. GATTO MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE E311
PALM SPRINGS CA
92262-4809
US

IV. Provider business mailing address

1180 N INDIAN CANYON DR STE E311
PALM SPRINGS CA
92262-4809
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-4735
  • Fax: 760-323-1167
Mailing address:
  • Phone: 760-323-4735
  • Fax: 760-323-1167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG35026
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL R GATTO
Title or Position: PRESIDENT
Credential: MD
Phone: 760-323-4735