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General NPI Number Information
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NPI Number | 1871925875
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Entity Type | Organization
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Legal Business Name | INPATIENT SERVICES OF CALIFORNIA, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 1150 N INDIAN CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4872
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Country | US
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Telephone | 469-401-2386
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Fax | 214-712-2444
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Provider Business Mailing Address
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Address Line | 5565 CENTERVIEW DR STE 107
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City | RALEIGH
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State | NC
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Zip | 27606-3563
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Country | US
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Telephone |
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Fax | 214-712-2444
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Authorized Official
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Title or Position | VP PROVIDER ENROLLMENT
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Name | KATHY KONDAS
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Credential |
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Telephone | 973-251-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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