Healthcare Provider Details

I. General information

NPI: 1265285183
Provider Name (Legal Business Name): DESIRGEND COMPANIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 MAIN ST STE G
RAMONA CA
92065-2286
US

IV. Provider business mailing address

1735 MAIN ST STE G
RAMONA CA
92065-2286
US

V. Phone/Fax

Practice location:
  • Phone: 760-440-0103
  • Fax: 760-870-5316
Mailing address:
  • Phone: 760-440-0103
  • Fax: 760-870-5316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. HUY DIEP
Title or Position: OWNER/PHARMACIST-IN-CHARGE
Credential: PHARMD, RPH
Phone: 760-440-0103