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Mirage Medical Group
Specialist in Rancho Mirage, California
NPI 1528208758

Mirage Medical Group is a Specialist based in Palm Desert, CA. Mirage Medical Group practices in Rancho Mirage, CA. The NPI Number for Mirage Medical Group is 1528208758 and holds a License No. A51307 (California).

The current practice location address for Mirage Medical Group is 69844 Highway 111 Ste K, Rancho Mirage, CA and can be reached out via phone at 760-770-4166.

Location: 69844 Highway 111 Ste K, Rancho Mirage, CA, 92260-3812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528208758
Provider Name
Mirage Medical Group
Credential
Provider Entity Type
Organization
Address
69844 Highway 111 Ste K, Rancho Mirage, CA, 92260-3812
Phone Number
760-770-4166
Fax Number
Provider Enumeration Date
02/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A51307 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
69844 Highway 111 Ste K
City
Rancho Mirage
State
California
Zip
92270-2849
Phone Number
760-770-4166
Fax Number
person
Provider Business Mailing Address Details
Address
69844 Highway 111 Ste K
City
Rancho Mirage
State
California
Zip
92270-2849
Phone Number
760-770-4166
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A51307 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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