| Organization Name: | EISENHOWER MEDICAL CENTER |
| NPI Number: | 1114364866 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUBREY SERFLING (CEO) |
| Mailing Address: | 57725 29 Palms Hwy Ste 201 Yucca Valley |
| State: | CA US |
| Postal Code: | 922843044 |
| Phone Number: | 7603467655 |
| Fax Number: | 7603467651 |
| NPI Enumeration Date: | 06/03/2013 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |