| Dr John Derrick Van Doren, MD | |
|
39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | |
| (951) 375-7966 | |
| Not Available |
| Full Name | Dr John Derrick Van Doren |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 39000 Bob Hope Dr, Rancho Mirage, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841844115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LA0401X | Anesthesiology - Addiction Medicine | G60750 (California) | Secondary |
| 208D00000X | General Practice | G60750 (California) | Primary |
| Entity Name | California Hospitalists Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760648539 PECOS PAC ID: 5193886505 Enrollment ID: O20081203000866 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Entity Name | Er Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063765907 PECOS PAC ID: 6406008499 Enrollment ID: O20121221000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Derrick Van Doren, MD 42222 Rancho Las Palmas Dr Unit 986, Rancho Mirage, CA 92270-4268 Ph: (951) 375-7966 | Dr John Derrick Van Doren, MD 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (951) 375-7966 |
Gary Proffett, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 46 Calle Del Norte, Rancho Mirage, CA 92270 Phone: 805-658-2552 |