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General NPI Number Information
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NPI Number | 1841185030
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Entity Type | Organization
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Legal Business Name | DESERT VISION SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 35900 BOB HOPE DR STE 155
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1703
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Country | US
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Telephone | 760-340-1861
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Fax |
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Provider Business Mailing Address
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Address Line | 35900 BOB HOPE DR STE 155
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1703
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Country | US
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Telephone | 760-340-1861
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | KEITH TOKUHARA
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Credential | MD
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Telephone | 808-222-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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