Individual
DR. NISSAN PILEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16100 SAND CANYON AVE STE 190, IRVINE, CA 92618-3723
(949) 727-3800
(949) 727-3888
Mailing address
16100 SAND CANYON AVE STE 190, IRVINE, CA 92618-3723
(949) 727-3800
(949) 727-3888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A30988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756071348
RAILROAD MEDICARE
CA
Enumeration date
10/19/2006
Last updated
12/19/2007
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