Provider First Line Business Practice Location Address:
3589 MCCARTHY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM SPRINGS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92262-1668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-656-3000
Provider Business Practice Location Address Fax Number:
760-656-3050
Provider Enumeration Date:
09/07/2026