Individual
MR. VIJAY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 548-1550
Mailing address
PO BOX 5158, SAN LUIS OBISPO, CA 93403-5158
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A116915
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/22/2009
Last updated
08/30/2017
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