Mirage Medical Group Center

NPI #1356811061 in Palm Desert, California

Provider Information

NPI Number: 1356811061
Entity Type: Organization
Organization Name: Mirage Medical Group Center
Primary Specialty: General Practice
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 44650 VILLAGE CT STE 100
City: Palm Desert
State: California
ZIP Code: 92260-3812
Phone: (760) 346-4003

Authorized Official

Name: ZORAN RUBAKOVICH
Title: ADMINISTRATOR
Phone: (760) 346-4003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
General Practice	208D00000X	Primary

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