| Sylvia A Gisi, M.d. Inc. | |
|
31493 Rancho Pueblo Rd Ste 204 Temecula CA 92592-4833 | |
| (951) 303-6158 | |
| (951) 303-8492 |
| Full Name | Sylvia A Gisi, M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 31493 Rancho Pueblo Rd Ste 204, Temecula, California |
| Authorized Official Name and Position | Sylvia A Gisi (OWNER) |
| Authorized Official Contact | 9513036158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvia A Gisi, M.d. Inc. 31720 Highway 79 South Suite 203 Temecula CA 92592 Ph: (951) 303-6158 | Sylvia A Gisi, M.d. Inc. 31493 Rancho Pueblo Rd Ste 204 Temecula CA 92592-4833 Ph: (951) 303-6158 |
| NPI Number | 1134249345 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 3870547664 |
|---|---|
| Medicare Enrollment ID | O20050303001094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134249345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sylvia A Gisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720052541 PECOS PAC ID: 2961456751 Enrollment ID: I20090513000387 |
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