Provider Demographics
NPI:1194932632
Name:HI DESERT ORTHOPAEDICS INC
Entity type:Organization
Organization Name:HI DESERT ORTHOPAEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SCHOEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-609-8306
Mailing Address - Street 1:57475 29 PALMS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-2906
Mailing Address - Country:US
Mailing Address - Phone:760-365-2520
Mailing Address - Fax:760-365-2524
Practice Address - Street 1:57475 29 PALMS HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-2906
Practice Address - Country:US
Practice Address - Phone:760-365-2520
Practice Address - Fax:760-365-2524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95929207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty