Provider Demographics
NPI:1376766808
Name:INDIO EMERGENCY MEDICAL GROUP INC
Entity Type:Organization
Organization Name:INDIO EMERGENCY MEDICAL GROUP INC
Other - Org Name:DESERT URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-775-4181
Mailing Address - Street 1:81767 DOCTOR CARREON BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5597
Mailing Address - Country:US
Mailing Address - Phone:760-775-4181
Mailing Address - Fax:760-775-4818
Practice Address - Street 1:74990 COUNTRY CLUB DR
Practice Address - Street 2:SUITE 310
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-1991
Practice Address - Country:US
Practice Address - Phone:760-341-8800
Practice Address - Fax:760-568-9265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDIO EMERGENCY MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-11
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5280820001OtherDEMERC LEGACY
CAGR0048821OtherMEDI-CAL PROVIDER #
CAGR0048821OtherMEDI-CAL PROVIDER #