Desert Podiatry Group
LBN: Desert Podiatry Group
Desert Podiatry Group is an health care organization with primary practice located at 69730 Highway 111 Suite 101, Rancho Mirage CA 92270-2869. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Desert Podiatry Group can be contacted via phone (760) 328-4669, or through Collis, Sheldon via phone (760) 328-4669.
Contact Information
Primary practice address
69730 Highway 111 Suite 101
Rancho Mirage CA 92270-2869
Phone: (760) 328-4669
Fax: (760) 328-6719
Website:
Authorized official contact:
Name: Collis, Sheldon Doctor of Podiatric Medicine (DPM)
Phone: (760) 328-4669
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E21580 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E38020 | California |
Profile Details
| NPI number | 1336168517 |
|---|---|
| LBN Legal business name | Desert Podiatry Group |
| DBA Doing business as | |
| Authorized official | Collis, Sheldon Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 21st, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336168517 | NPPES |
| California | MEDICAID | 000E21852 | |
| California | MEDICAID | 000E38020 |
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