Provider Demographics
NPI:1265124218
Name:DESERT OASIS WELLNESS INC.
Entity type:Organization
Organization Name:DESERT OASIS WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HESSELTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-233-7057
Mailing Address - Street 1:1850 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-4621
Mailing Address - Country:US
Mailing Address - Phone:909-233-7057
Mailing Address - Fax:
Practice Address - Street 1:1850 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4621
Practice Address - Country:US
Practice Address - Phone:909-233-7057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty