OrganizationActive
Bruce B Chisholm MD a Professional Corporation
NPI 1700159548 · Oral & Maxillofacial Surgery (D.M.D.) · Rancho Mirage, CA
Provider details
- NPI number
- 1700159548
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Chisholm, President(760) 779-9559
- License
- G81937 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
39300 Bob Hope Dr
Bannan Bldg Suite 1208
Rancho Mirage, CA 92270-7088
Phone: (760) 779-9559
Approximate (ZIP-level) locationGet directions
Mailing address
39300 Bob Hope Dr
Rancho Mirage, CA 92270-7088
Registry dates
- Enumerated
- 2012-02-09
- Last updated
- 2012-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.