Dr. Deep C Desai, M.D.
Internal Medicine in Santa Monica, CA. Individual provider (NPI-1).
NPI number1457739732
StatusActive
Last updated in NPPESJun 7, 2019
Details
- NPI
- 1457739732
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deep C Desai
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2015
- Last updated
- Jun 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A157450 | CA | Yes |
| 208M00000X | Hospitalist | A157450 | CA |
Practice location
1250 16th St # C2304Santa Monica, CA 90404-1249
Phone 310-319-4698
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-8707
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