| Desert Dermaesthetics, Inc. | |
|
47647 Caleo Bay Drive Suite 250 La Quinta CA 92253-9998 | |
| (760) 777-7993 | |
| (760) 777-4244 |
| Full Name | Desert Dermaesthetics, Inc. |
|---|---|
| Speciality | Dermatology |
| Location | 47647 Caleo Bay Drive, La Quinta, California |
| Authorized Official Name and Position | Ruth Ellen Vanderplas (PRESIDENT) |
| Authorized Official Contact | 7607777993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Dermaesthetics, Inc. 47647 Caleo Bay Drive Suite 250 La Quinta CA 92253-9998 Ph: (760) 777-7993 | Desert Dermaesthetics, Inc. 47647 Caleo Bay Drive Suite 250 La Quinta CA 92253-9998 Ph: (760) 777-7993 |
| NPI Number | 1144343310 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 8325130966 |
|---|---|
| Medicare Enrollment ID | O20070827000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144343310 | NPI | - | NPPES |
| ZZZ60262Z | Other | CA | BLUE SHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A88507 (California) | Secondary |
| 207N00000X | Dermatology | A88507 (California) | Primary |
| Provider Name | Ruth E Vanderplas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235233743 PECOS PAC ID: 7315039955 Enrollment ID: I20070827000836 |
Edward A. Ruiz Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47110 Washington St Ste 203, La Quinta, CA 92253 Phone: 760-564-9205 Fax: 760-771-6243 | |
Zadeh Enterprises Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47120 Dune Palms Rd Ste 111, La Quinta, CA 92253 Phone: 760-219-0155 | |
Werner Gonzalez Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47250 Washington St Ste A, La Quinta, CA 92253 Phone: 760-771-9437 Fax: 760-564-8581 | |
Efren F Wu Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47647 Caleo Bay Dr Ste 130, La Quinta, CA 92253 Phone: 760-360-1000 Fax: 760-610-6171 | |
Coachella Valley Digestive Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47170 Washington St, Suite 100, La Quinta, CA 92253 Phone: 760-771-1111 | |
S A Allen Md Inc A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 79440 Corporate Center Dr, #110, La Quinta, CA 92253 Phone: 760-564-3533 |