Organization · Type 2 NPI

Portola Dental Group

Preferred Provider Organization · Palm Desert, CA

NPI number 1396175071 Active

Practice location

44853 Portola Avenue, Ste B
Palm Desert, CA 92260

Fax (760) 346-7335

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization 305R00000X36169 (CA)
Preferred Provider Organization Primary 305R00000X51212 (OK)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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About NPI 1396175071

Portola Dental Group's National Provider Identifier is 1396175071, issued on Nov 18, 2013. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Palm Desert, CA. The record was last updated on Nov 18, 2013.