DESANTE MED GROUP NPI 1689562100

NPI Information

  • NPI: 1689562100
  • Provider Name: DESANTE MED GROUP
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 7136 HASKELL AVE STE 210
    VAN NUYS, CA
    ZIP 91406
  • Phone: (818) 900-0009

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NPI Details

DESANTE MED GROUP is a clinic center in Van Nuys, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DESANTE MED GROUP NPI is 1689562100. The provider is registered as an organization entity type.

The provider's business location address is:

7136 HASKELL AVE STE 210
VAN NUYS, CA
ZIP 91406-112
Phone: (818) 900-0009

The provider's authorized official is Tehmine Tina Nagdalian .
The authorized official title is Ceo and has the following contact phone number (818) 900-0009.

The enumeration date for this NPI number is 6/24/2025 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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