MEDICARE: DESERT VIP URGENT CARE

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
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ04006Z	OTHER	CA	BS GROUP #

General Provider Information

NPI Number	:	1467584425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT VIP URGENT CARE

Provider Business Mailing Address
First Line	:	72630 FRED WARING DR STE 101
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-5004
Country	:	US
Telephone Number	:	760-674-1923
Fax Number	:

Provider Business Practice Location Address
First Line	:	72630 FRED WARING DR STE 101
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-5004
Country	:	US
Telephone Number	:	760-674-1923
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	TING Z YOUNG
Credential	:	M.D.
Telephone Number	:	760-674-1923

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	01/13/2026

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