# PETER FISCHL, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770746646
- **Authorized official:** DR. PETER FISCHL (PRESIDENT)
- **Authorized official phone:** (760) 242-0762

## Contact information

- **Practice address:** 16130 KOKANEE RD, STE 104, APPLE VALLEY, CA 92307-0833
- **Practice address phone:** (760) 242-0762
- **Practice address fax:** (760) 242-1803
- **Mailing address:** 16130 KOKANEE RD, STE 104, APPLE VALLEY, CA 92307-0833
- **Mailing address phone:** (760) 242-0762
- **Mailing address fax:** (760) 242-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A33580 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 03/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A335801 | — | CA |