Organization
ASSIST MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHIJIT G. DESHPANDE MD (OWNER)
(509) 945-9977
Entity
Organization
Contact information
Practice address
1431 WARNER AVE STE A, TUSTIN, CA 92780-6444
(509) 945-9977
(509) 873-0049
Mailing address
16606 CAMILIA AVE, TUSTIN, CA 92782-1908
(509) 945-9977
(509) 469-1905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071609
—
WA
01
—
604-029-053
BUSINESS LICENSE
WA
Enumeration date
11/14/2014
Last updated
09/10/2021
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