Individual
BRIAN DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 S PALISADE DR, SUITE 104, SANTA MARIA, CA 93454-8902
(805) 925-2521
(805) 925-8721
Mailing address
220 S PALISADE DR, SUITE 104, SANTA MARIA, CA 93454-8902
(805) 925-2521
(805) 925-8721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A426620
BLUESHIELD
CA
Enumeration date
10/13/2005
Last updated
02/23/2024
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