MEDICARE: ALLIANCE HEALTH CARE GROUP

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1871615039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HEALTH CARE GROUP

Provider Business Mailing Address
First Line	:	PO BOX 2037
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-1054
Country	:	US
Telephone Number	:	760-341-6533
Fax Number	:	760-341-9095

Provider Business Practice Location Address
First Line	:	41905 BOARDWALK STE S
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-9092
Country	:	US
Telephone Number	:	760-341-6533
Fax Number	:	760-341-9095

Authorized Official
Title or Position	:	OWNER
Name	:	ALI TAHMOURESIE
Credential	:
Telephone Number	:	760-341-6533

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/22/2020

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