Healthcare Provider Details
I. General information
NPI: 1013824838
Provider Name (Legal Business Name): DENNIS JOSHUA SADORRA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US
IV. Provider business mailing address
45060 SPRING BROOK CT
LA QUINTA CA
92253-4114
US
V. Phone/Fax
- Phone: 760-835-9471
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RPH92873 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: