Healthcare Provider Details

I. General information

NPI: 1134564347
Provider Name (Legal Business Name): AMAR ARUN DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 COLIMA RD STE 1000
WHITTIER CA
90605-1813
US

IV. Provider business mailing address

12900 PARK PLAZA DR STE 150
CERRITOS CA
90703-9329
US

V. Phone/Fax

Practice location:
  • Phone: 562-696-1104
  • Fax: 562-696-2194
Mailing address:
  • Phone: 562-677-2409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA132368
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA132368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: