Organization
NOLAN DESA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOLAN DESA MD (PRESIDENT)
(714) 421-1718
Entity
Organization
Contact information
Practice address
3742 KATELLA AVE STE 303, LOS ALAMITOS, CA 90720-3172
(714) 421-1718
Mailing address
3742 KATELLA AVE STE 303, LOS ALAMITOS, CA 90720-3172
(714) 421-1718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
06/28/2025
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