Individual
NOLAN STEPHEN DESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 TERMINO AVE STE G18, LONG BEACH, CA 90804-2169
(562) 494-6700
(562) 391-0180
Mailing address
1045 ATLANTIC AVE STE 1004, LONG BEACH, CA 90813-3423
(562) 432-9911
(562) 391-0180
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
A160199
CA
208600000X
Surgery Physician
Primary
A160199
CA
Other
Enumeration date
04/14/2013
Last updated
06/28/2022
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