Individual
GEORGE PISIMISIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 N HARBOR BLVD STE 140, FULLERTON, CA 92835-2625
(657) 566-8800
(657) 566-8810
Mailing address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
(760) 423-6273
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C175395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352728501
—
TX
05
—
ENROLLED
—
MN
Enumeration date
03/29/2007
Last updated
02/28/2022
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