Doctor Name: | JOSEPH MITCHELL DAHMAN |
NPI Number: | 1376592097 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | 12786 |
Business Practice Address: | 12520 Palm Dr Desert Hot Springs, CA - 922404559 |
Business Phone Number: | 7606765800 |
Business Fax Number: | |
Mailing Address: | 39000 Bob Hope Dr, Lccc 2nd Floor RANCHO MIRAGE |
State: | CA |
Postal Code: | 922703221 |
Phone Number: | 7607731451 |
Fax Number: | 7607731239 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 12786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |