Organization Active NPI

Body Symmetry Medical Group, PC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1063238129
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
BODY SYMMETRY MEDICAL GROUP, PC
Practice address
73360 Highway 111 Ste 1
Palm Desert, CA 92260-3926
Phone
(310) 879-9266
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allen Lawrence, MD
Title
Medical Director
Phone
(760) 565-1193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

73360 Highway 111 Ste 1
Palm Desert, CA 92260-3926

Mailing address

73360 Highway 111 Ste 1
Palm Desert, CA 92260-3926
Phone (760) 565-1193

National Provider Directory

National Provider Directory

Locations

73360 Highway 111
Ste 1
Palm Desert, CA 92260
Phone (310) 879-9266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1063238129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73360 HIGHWAY 111 STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603926",
            "telephone_number": "760-565-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73360 HIGHWAY 111 STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603926",
            "telephone_number": "310-879-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY SYMMETRY MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-565-1193",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.