| Steven P Gorman Md Inc. | |
|
78150 Calle Tampico Suite 100 La Quinta CA 92253-2907 | |
| (760) 564-1886 | |
| (760) 564-8558 |
| Full Name | Steven P Gorman Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 78150 Calle Tampico, La Quinta, California |
| Authorized Official Name and Position | Steven P Gorman (OWNER) |
| Authorized Official Contact | 7605647886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven P Gorman Md Inc. 78150 Calle Tampico Suite 100 La Quinta CA 92253-2907 Ph: (760) 564-1886 | Steven P Gorman Md Inc. 78150 Calle Tampico Suite 100 La Quinta CA 92253-2907 Ph: (760) 564-1886 |
| NPI Number | 1306117668 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 04/14/2013 |
| Medicare PECOS PAC ID | 9830350693 |
|---|---|
| Medicare Enrollment ID | O20120423000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306117668 | NPI | - | NPPES |
| 00G839730 | Medicaid | CA | |
| 1104926500 | Other | CA | INDV. NPI# |
| FY520Z | Other | CA | MCR PTAN IND |
| FY791A | Other | CA | MCR PTAN GRP |
| 1306117668 | Other | CA | MCR NPI GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G83973 (California) | Primary |
| Provider Name | Steven P Gorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104926500 PECOS PAC ID: 8123015724 Enrollment ID: I20040427000491 |
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 | |
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: Not Enrolled in Medicare 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 | |
Desert Dermaesthetics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47647 Caleo Bay Drive, Suite 250, La Quinta, CA 92253 Phone: 760-777-7993 Fax: 760-777-4244 | |
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 | |
Martin Sahakyan Md, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51625 Desert Club Dr Ste 208, La Quinta, CA 92253 Phone: 818-441-2177 Fax: 747-300-2112 |