Provider Demographics
NPI:1255520755
Name:PAUL BISKAR MD A MEDICAL CORPORATION
Entity type:Organization
Organization Name:PAUL BISKAR MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BISKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-346-0600
Mailing Address - Street 1:41750 RANCHO LAS PALMAS DR
Mailing Address - Street 2:SUITE C4
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-5511
Mailing Address - Country:US
Mailing Address - Phone:760-346-0600
Mailing Address - Fax:760-346-2418
Practice Address - Street 1:41750 RANCHO LAS PALMAS DR
Practice Address - Street 2:SUITE C4
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-5511
Practice Address - Country:US
Practice Address - Phone:760-346-0600
Practice Address - Fax:760-346-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-20
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC511160207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1881789147OtherNPI
CA00C511160Medicare PIN
CAI04997Medicare UPIN
CAZZZ29160ZMedicare PIN