| Date Palm Inc. | |
|
604 E Hobsonway Blythe CA 92225-1739 | |
| (760) 922-3644 | |
| (760) 922-2671 |
| Full Name | Date Palm Inc. |
|---|---|
| Speciality | Ophthalmology |
| Location | 604 E Hobsonway, Blythe, California |
| Authorized Official Name and Position | Walter T. Spelsberg (OFFICER) |
| Authorized Official Contact | 7609223644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Date Palm Inc. 604 E Hobsonway Blythe CA 92225-1739 Ph: (760) 922-3644 | Date Palm Inc. 604 E Hobsonway Blythe CA 92225-1739 Ph: (760) 922-3644 |
| NPI Number | 1760550701 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760550701 | NPI | - | NPPES |
| GR0077770 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C22232 (California) | Primary |
| 207W00000X | Ophthalmology | C22232 (California) | Primary |
Desert View Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N 1st St Ste A, Blythe, CA 92225 Phone: 760-921-3474 Fax: 760-921-3471 | |
Leonel L Rodriguez Md A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N 1st St Ste C, Blythe, CA 92225 Phone: 760-922-8330 Fax: 760-922-8320 | |
Sac Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Broadway, Blythe, CA 92225 Phone: 909-382-7100 | |
Innercare - Blythe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1415 W Hobsonway, Blythe, CA 92225 Phone: 760-922-4981 Fax: 760-922-4442 | |
St Joan Of Arc Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 S Palm Drive, Blythe, CA 92225 Phone: 760-922-1020 Fax: 760-922-1050 | |
Sac Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 W Hobsonway, Blythe, CA 92225 Phone: 909-382-7100 | |
Leon Peter Y. Chua, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Broadway, Ste 17, Blythe, CA 92225 Phone: 760-922-2152 Fax: 760-922-2292 |