Individual
DR. ANISH B DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048-1804
(310) 423-4683
(310) 967-1800
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-4683
(310) 967-1800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A77785
CA
207R00000X
Internal Medicine Physician
Primary
A77785
CA
208000000X
Pediatrics Physician
A77785
CA
Other
Enumeration date
03/28/2006
Last updated
08/14/2014
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