| Desert Family Medical Center | |
|
555 E Tachevah Dr Suite 2w-203 Palm Springs CA 92262-5750 | |
| (760) 323-4272 | |
| (760) 323-8597 |
| Full Name | Desert Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 555 E Tachevah Dr, Palm Springs, California |
| Authorized Official Name and Position | Erik Grove Palmer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7603234272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Family Medical Center 555 E Tachevah Dr Suite 2w-203 Palm Springs CA 92262-5750 Ph: (760) 323-4272 | Desert Family Medical Center 555 E Tachevah Dr Suite 2w-203 Palm Springs CA 92262-5750 Ph: (760) 323-4272 |
| NPI Number | 1770648404 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 0648213736 |
|---|---|
| Medicare Enrollment ID | O20090406000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770648404 | NPI | - | NPPES |
| ZZZ01493Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7732 (California) | Primary |
| Provider Name | Erik G Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184683229 PECOS PAC ID: 6800833831 Enrollment ID: I20090406000453 |
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