Date Palm Inc.
LBN: Date Palm Inc.
Date Palm Inc. is an health care organization with primary practice located at 604 E Hobsonway , Blythe CA 92225-1739. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Date Palm Inc. can be contacted via phone (760) 922-3644, or through Spelsberg, Walter T. via phone (760) 922-3644.
Contact Information
Primary practice address
604 E Hobsonway
Blythe CA 92225-1739
Phone: (760) 922-3644
Fax: (760) 922-2671
Website:
Authorized official contact:
Name: Spelsberg, Walter T. Doctor of Medicine (MD)
Phone: (760) 922-3644
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C22232 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C22232 | California |
Profile Details
| NPI number | 1760550701 |
|---|---|
| LBN Legal business name | Date Palm Inc. |
| DBA Doing business as | |
| Authorized official | Spelsberg, Walter T. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760550701 | NPPES |
| California | MEDICAID | GR0077770 |
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