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NPI Code Detail

MEDICARE: EISENHOWER MEDICAL CENTER

MEDICARE: EISENHOWER MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital250000142CA

General Provider Information

NPI Number : 1538491949
Entity Type Code : Organization
Provider Name (Legal Business Name) : EISENHOWER MEDICAL CENTER
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3202
Country : US
Telephone Number : 760-340-2682
Fax Number : 760-773-9695
Provider Business Practice Location Address
First Line : 78120 WILDCAT DR
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-1140
Country : US
Telephone Number : 760-340-2682
Fax Number : 760-773-9695
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MARTIN JOSEPH MASSIELLO
Credential :
Telephone Number : 760-773-1228
Provider Enumeration Date : 02/10/2010
Last Update Date : 04/03/2026

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Directions to “EISENHOWER MEDICAL CENTER ” Practice Location

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