Individual
GEORGE E FISCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 ETIWANDA AVE, #305, TARZANA, CA 91356-3647
(818) 705-8787
(818) 705-8789
Mailing address
5525 ETIWANDA AVE, #305, TARZANA, CA 91356-3647
(818) 705-8787
(818) 705-8789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G49561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G495611
—
CA
05
—
GR0079020
—
CA
Enumeration date
06/29/2006
Last updated
07/09/2007
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