Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirage Medical Group Center

Organization Dermatology Physician · NPI 1356811061

Mirage Medical Group Center is a Dermatology Physician in Palm Desert, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

44650 Village Ct Ste 100
Palm Desert, CA 92260-3812
Phone: (760) 346-4003
Fax: (760) 346-4443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1356811061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zoran Rubakovich — Administrator · (760) 346-4003
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018
Mailing address44650 Village Ct Ste 100, Palm Desert, CA 92260-3812

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