Individual
DR. SHILPA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 N VERMONT AVE, 5TH FLOOR, LOS ANGELES, CA 90027-5337
(323) 783-4652
Mailing address
1515 N VERMONT AVE, 5TH FLOOR, LOS ANGELES, CA 90027-5337
(323) 783-4652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT195556
PA
208D00000X
General Practice Physician
Primary
A125863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A125863
CALIFORNIA MEDICAL LICENSE
CA
01
—
MT195655
GRADUATE MEDICAL TRAINING LICENSE
PA
Enumeration date
07/15/2009
Last updated
12/17/2021
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