Healthcare Provider Details

I. General information

NPI: 1497139190
Provider Name (Legal Business Name): MD-CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N INDIAN CANYON DR
PALM SPRINGS CA
92262-4872
US

IV. Provider business mailing address

2953 CANDLELIGHT LN
PALM SPRINGS CA
92264-6823
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-6605
  • Fax: 760-323-6528
Mailing address:
  • Phone: 206-437-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG88894
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL S WEINSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 206-437-7633