Organization
BRIDGE TELEHEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE K DESAGANI MD (PRESIDENT)
(949) 689-0288
Entity
Organization
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 871-3280
Mailing address
4199 CAMPUS DR STE 550, IRVINE, CA 92612-4694
(888) 912-7434
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
09/23/2022
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