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General NPI Number Information
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NPI Number | 1558468983
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Entity Type | Organization
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Legal Business Name | DESERT EYE INSTITUTE MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 1461 STATE ST.
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-352-6234
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Fax | 760-352-7584
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Provider Business Mailing Address
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Address Line | 1461 STATE ST.
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-352-6234
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Fax | 760-352-7584
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARENDRA J. PATEL
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Credential | M.D.
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Telephone | 760-352-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C375350
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License Number State | CA
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