Mirage Medical Group Center

LBN: Mirage Medical Group Center
Mirage Medical Group Center is an health care organization with primary practice located at 44650 Village Ct Ste 100 , Palm Desert CA 92260-3812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Mirage Medical Group Center can be contacted via phone (760) 346-4003, or through Rubakovich, Zoran via phone (760) 346-4003.

Contact Information

Primary practice address
44650 Village Ct Ste 100 Palm Desert CA 92260-3812
Phone: (760) 346-4003
Fax: (760) 346-4443
Website:
Map and Directions
Authorized official contact:
Name: Rubakovich, Zoran
Phone: (760) 346-4003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1356811061
LBN Legal business name Mirage Medical Group Center
DBA Doing business as
Authorized official Rubakovich, Zoran
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2018
Last updated Nov 26th, 2018 - about 6 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.

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