MEDICARE: DATE PALM 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
1	207W00000X	Ophthalmology Physician	C22232	CA
2	207Q00000X	Family Medicine Physician	C22232	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1760550701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DATE PALM INC.

Provider Business Mailing Address
First Line	:	604 E HOBSONWAY
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225-1739
Country	:	US
Telephone Number	:	760-922-3644
Fax Number	:	760-922-2671

Provider Business Practice Location Address
First Line	:	604 E HOBSONWAY
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225-1739
Country	:	US
Telephone Number	:	760-922-3644
Fax Number	:	760-922-2671

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. WALTER T. SPELSBERG
Credential	:	M.D.
Telephone Number	:	760-922-3644

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1235183278 — SRINIVAS BHAWANI VUTHOORI M.D.
Practice Location Address:

604 E HOBSONWAY
BLYTHE, CA
92225-1739

Practice Phone: 760-660-4790
Practice Fax: 866-554-1794

1407941818 — DR. DANIEL MARK JUDD O.D.
Practice Location Address:

600 E HOBSONWAY
BLYTHE, CA
92225-1739

Practice Phone: 760-922-0284
Practice Fax:

1477025484 — MR. SAYED N ALLY RPH
Practice Location Address:

616 E HOBSONWAY
BLYTHE, CA
92225-1739

Practice Phone: 760-922-9867
Practice Fax: 760-922-6706

1114584596 — JOSEPHINE ADAEZE NWISU
Practice Location Address:

616 E HOBSONWAY
BLYTHE, CA
92225-1739

Practice Phone: 760-922-9867
Practice Fax:

1568163384 — EMMA LEONA SUFFLE
Practice Location Address:

616 E HOBSONWAY
BLYTHE, CA
92225-1739

Practice Phone: 760-698-3433
Practice Fax:

1609170232 — PREMIER HEALTH PARTNERS
Practice Location Address:

250 N 1ST ST
BLYTHE, CA
92225-1702

Practice Phone: 310-488-2830
Practice Fax: 888-502-9285

Directions to “DATE PALM INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.