Healthcare Provider Details

I. General information

NPI: 1114364866
Provider Name (Legal Business Name): EISENHOWER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57725 29 PALMS HWY STE 201
YUCCA VALLEY CA
92284-3046
US

IV. Provider business mailing address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3202
US

V. Phone/Fax

Practice location:
  • Phone: 760-346-7655
  • Fax: 760-346-3037
Mailing address:
  • Phone: 760-346-7655
  • Fax: 760-346-3037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MARTIN JOSEPH MASSIELLO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 760-773-1228