Provider Demographics
NPI:1326921990
Name:DESERT CARE CLINIC APC
Entity type:Organization
Organization Name:DESERT CARE CLINIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SELF
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LICHTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-550-8862
Mailing Address - Street 1:444 S 8TH ST STE C1A
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-3236
Mailing Address - Country:US
Mailing Address - Phone:760-890-0190
Mailing Address - Fax:
Practice Address - Street 1:444 S 8TH ST STE C1A
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-3236
Practice Address - Country:US
Practice Address - Phone:760-890-0190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty