Individual
DR. THEODORE GEORGIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22924 CRENSHAW BLVD, TORRANCE, CA 90505-3023
(310) 530-4460
(310) 530-4464
Mailing address
PO BOX 273, PALOS VERDES ESTATES, CA 90274-0273
(858) 354-5606
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G49234
CA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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