Provider Demographics
NPI:1033389572
Name:STEVEN L. GINEX, DPM INC
Entity Type:Organization
Organization Name:STEVEN L. GINEX, DPM INC
Other - Org Name:PALM DESERT PODIATRY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:GINEX
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:760-340-3232
Mailing Address - Street 1:74050 ALESSANDRO DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3705
Mailing Address - Country:US
Mailing Address - Phone:760-340-3232
Mailing Address - Fax:760-776-1424
Practice Address - Street 1:74050 ALESSANDRO DR
Practice Address - Street 2:SUITE A
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3705
Practice Address - Country:US
Practice Address - Phone:760-340-3232
Practice Address - Fax:760-776-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E38930Medicaid
P00817023OtherMEDICARE RAILROAD
DQ1338OtherMEDICARE RAILROAD
DQ1338OtherMEDICARE RAILROAD
6309560001Medicare NSC