Organization
DESANTE MED GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEHMINE TINA NAGDALIAN (CEO)
(818) 900-0009
Entity
Organization
Contact information
Practice address
7136 HASKELL AVE STE 210, VAN NUYS, CA 91406-4112
(818) 900-0009
Mailing address
7136 HASKELL AVE STE 210, VAN NUYS, CA 91406-4112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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