Individual
DESSERE GIVERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-5511
Mailing address
10155 N EDGEWOOD DR, FRESNO, CA 93720-3423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59343
CA
363A00000X
Physician Assistant
Primary
PA59343
CA
Other
Enumeration date
04/13/2020
Last updated
01/14/2026
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