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NPI Code Detail

MEDICARE: DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC

MEDICARE: DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CS3839OTHERCAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427069368
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 34490 BOB HOPE DRIVE
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-0000
Country : US
Telephone Number : 760-568-3613
Fax Number : 760-340-5189
Provider Business Practice Location Address
First Line : 34490 BOB HOPE DRIVE
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-0000
Country : US
Telephone Number : 760-568-3613
Fax Number : 760-340-5189
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : TYLER LEE DAVIS
Credential : M.D.
Telephone Number : 760-568-3613
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/31/2025

Similar Medicare Providers

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Practice Location Address:
34490 BOB HOPE DR.
RANCHO MIRAGE, CA
92270-0000
Practice Phone: 760-568-3613
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1972513919 — PHILIP BRIEN DREISBACH M.D.
Practice Location Address:
34490 BOB HOPE DR.
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Practice Fax: 760-340-5189
1831109792 — LUKE PHILIP DREISBACH M.D.
Practice Location Address:
34490 BOB HOPE DR.
RANCHO MIRAGE, CA
92270-0000
Practice Phone: 760-568-3613
Practice Fax: 760-340-5189
1427069350 — DAVID EUGENE YOUNG M.D.
Practice Location Address:
34490 BOB HOPE DR.
RANCHO MIRAGE, CA
92270-0000
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1326236340 — MRS. SHERI J MITCHELL FNP
Practice Location Address:
34490 BOB HOPE DR.
RANCHO MIRAGE, CA
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Practice Location Address:
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Practice Fax:

Directions to “DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC ” Practice Location

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