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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRAGE MEDICAL GROUP

Active Organization

MIRAGE MEDICAL GROUP is a Specialist organization located in RANCHO MIRAGE, California. NPI 1528208758 is currently active in the NPPES registry. Verify at CMS.

Specialist · RANCHO MIRAGE, CA

Registration Details

NPI Number
1528208758
Provider Type
Organization
NPI Issued
Feb 27, 2009 (17.456467451706 yrs)
Last Updated
Feb 27, 2009
License
A51307 (CA)

Practice Information

Address
69844 HIGHWAY 111 STE K
ONE HAWKEYE PARK
RANCHO MIRAGE, CA, 922702849
Browse CA providers · Browse ZIP 92270
Phone
7607704166
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.