Active NPI
Body Symmetry Medical Group, PC
- Preventive Medicine/Occupational Environmental Medicine Physician
- Palm Desert, CA
National Provider Identifier
1063238129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Palm Desert, CA
- NPI 1740716984
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.