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NPI Code Detail

MEDICARE: DESERT OASIS HEALTHCARE

MEDICARE: DESERT OASIS HEALTHCARE
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1639407208
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT OASIS HEALTHCARE
Provider Business Mailing Address
First Line : 340 S FARRELL DR STE A112
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-969-6533
Fax Number : 760-969-5950
Provider Business Practice Location Address
First Line : 340 S FARRELL DR STE A112
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-969-6533
Fax Number : 760-969-5950
Authorized Official
Title or Position : CREDENTIALS MANAGER
Name : MRS. CATHERINE A BRANDON
Credential : CPCS
Telephone Number : 760-320-4122
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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1447740824 — TRANSGENDER HEALTH AND WELLNESS CENTER
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1811565674 — MRS. SAMANTHA YOSHIDA
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1326803974 — BRIANNA ANDREA GARCIA
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1942016662 — TRANSGENDER HEALTH AND WELLNESS CENTER
Practice Location Address:
340 S FARRELL DR STE A208
PALM SPRINGS, CA
92262-7931
Practice Phone: 760-202-4308
Practice Fax: 760-818-8025

Directions to “DESERT OASIS HEALTHCARE ” Practice Location

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