Organization
NOLAN DESA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN S DESA MD (PRESIDENT)
(714) 421-1718
Entity
Organization
Contact information
Practice address
1666 TUSTIN AVE, COSTA MESA, CA 92627-3247
(714) 421-1718
Mailing address
1666 TUSTIN AVE, COSTA MESA, CA 92627-3247
(714) 421-1718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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