Individual
JOHN GEORGE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A 10304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200036404
RAILROAD MEDICARE
—
01
—
2054400135
BCBS OF MICHIGAN
—
01
—
20A 10304
CA LICENSE
CA
01
—
4127171
AETNA
—
01
—
5440013
BLUE CARE NETWORK
—
01
—
C2477
MCARE
—
01
—
D60760
HEALTH ALLIANCE PLAN/HAP
—
Enumeration date
02/22/2006
Last updated
06/02/2021
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