Individual
NEIL W. TREISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5256 S MISSION RD, SUITE 802, BONSALL, CA 92003-3614
(951) 698-4600
(951) 514-2542
Mailing address
25405 HANCOCK AVE, STE 216, MURRIETA, CA 92562
(951) 698-4600
(951) 514-2542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
G451030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G451030
—
CA
Enumeration date
06/29/2006
Last updated
03/27/2012
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