Provider Demographics
NPI:1417612094
Name:DESERTDME, LLC
Entity type:Organization
Organization Name:DESERTDME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NEISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-688-8868
Mailing Address - Street 1:41625 ECLECTIC ST STE D1
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-1910
Mailing Address - Country:US
Mailing Address - Phone:760-688-8868
Mailing Address - Fax:760-867-2792
Practice Address - Street 1:41625 ECLECTIC ST STE D1
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-1910
Practice Address - Country:US
Practice Address - Phone:760-688-8868
Practice Address - Fax:760-867-2792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies