Organization · Type 2 NPI

Mirage Medical Group

Specialist · Rancho Mirage, CA

NPI number 1528208758 Active

Practice location

69844 Highway 111 Ste K, One Hawkeye Park
Rancho Mirage, CA 92270-2849

Call (760) 770-4166 Map

Mailing address

44650 Village Ct Ste 100
Palm Desert, CA 92260-3812

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA51307 (CA)

Specialist: 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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About NPI 1528208758

Mirage Medical Group's National Provider Identifier is 1528208758, issued on Feb 27, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Feb 27, 2009.