Individual
MR. ALBERTO GEDISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 S BROADWAY, SUITE A, SANTA ANA, CA 92707-2253
(714) 919-0280
(714) 288-8970
Mailing address
3141 MICHELSON DR, APT 1404, IRVINE, CA 92612-5623
(714) 425-4319
(949) 854-3975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A26326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A263260
—
CA
Enumeration date
10/13/2005
Last updated
11/07/2011
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