# WATSON A. DESA, MD, A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982616439
- **Authorized official:** DR. WATSON ANTONIO DESA M.D. (OWNER)
- **Authorized official phone:** (562) 594-6080

## Contact information

- **Practice address:** 1050 LINDEN AVE, LONG BEACH, CA 90813-3393
- **Practice address phone:** (562) 594-6080
- **Practice address fax:** (562) 594-6030
- **Mailing address:** PO BOX 708, LOS ALAMITOS, CA 90720-0708
- **Mailing address phone:** (562) 594-6080
- **Mailing address fax:** (562) 594-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A32717 | CA | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 10/30/2025