Healthcare Provider Details

I. General information

NPI: 1386264166
Provider Name (Legal Business Name): HALSIE ALEXANDRA DONALDSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US

IV. Provider business mailing address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US

V. Phone/Fax

Practice location:
  • Phone: 760-346-8555
  • Fax: 760-346-8666
Mailing address:
  • Phone: 760-346-8555
  • Fax: 760-346-8666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA209214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: