Healthcare Provider Details

I. General information

NPI: 1134758774
Provider Name (Legal Business Name): PAIGE DUBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41750 RANCHO LAS PALMAS DR STE F2
RANCHO MIRAGE CA
92270-5511
US

IV. Provider business mailing address

41750 RANCHO LAS PALMAS DR STE F2
RANCHO MIRAGE CA
92270-5511
US

V. Phone/Fax

Practice location:
  • Phone: 442-274-2570
  • Fax: 442-274-2196
Mailing address:
  • Phone: 442-274-2570
  • Fax: 442-274-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA183814
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA183814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: