George Pisimisis, MD | |
2720 N Harbor Blvd Ste 140, Fullerton, CA 92835-2625 | |
(657) 566-8800 | |
(657) 566-8810 |
Full Name | George Pisimisis |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 2720 N Harbor Blvd Ste 140, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538288311 | NPI | - | NPPES |
352728501 | Medicaid | TX | |
ENROLLED | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | C175395 (California) | Primary |
Entity Name | Coastal Heart Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881612828 PECOS PAC ID: 6709868623 Enrollment ID: O20040603001531 |
Entity Name | Desert Vein & Vascular Institute Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821415142 PECOS PAC ID: 1951732759 Enrollment ID: O20200512000499 |
Mailing Address | Practice Location Address |
---|---|
George Pisimisis, MD 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 Ph: (760) 568-3461 | George Pisimisis, MD 2720 N Harbor Blvd Ste 140, Fullerton, CA 92835-2625 Ph: (657) 566-8800 |
Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690 | |
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dong Hum Yoon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032 | |
Amanda C Purdy, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
Dr. Robert Emmitt Mccoy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835 Phone: 714-446-5260 Fax: 714-446-5265 |