Desert Ophthalmology Medical Corporation

NPI #1699392506 in Palm Desert, California

Provider Information

NPI Number: 1699392506
Entity Type: Organization
Organization Name: Desert Ophthalmology Medical Corporation
Primary Specialty: Ophthalmology
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 72650 FRED WARING DR STE 109
City: Palm Desert
State: California
ZIP Code: 92260-5008
Phone: (760) 776-8600

Authorized Official

Name: DR. WALLACE FRANKLIN GOLDBAN, MD
Title: PRACTICE OWNER
Phone: (760) 320-8497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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