| Palm Desert Psychiatry Inc | |
|
74075 El Paseo Ste B1 Palm Desert CA 92260-4145 | |
| (805) 540-0279 | |
| Not Available |
| Full Name | Palm Desert Psychiatry Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 74075 El Paseo Ste B1, Palm Desert, California |
| Authorized Official Name and Position | Carrie Kieta (MANAGER) |
| Authorized Official Contact | 8055400279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Desert Psychiatry Inc 536 Camino Mercado Arroyo Grande CA 93420-1814 Ph: (805) 540-0279 | Palm Desert Psychiatry Inc 74075 El Paseo Ste B1 Palm Desert CA 92260-4145 Ph: (805) 540-0279 |
| NPI Number | 1487277257 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487277257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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