Organization
ALISTER A. GEORGE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINE DEASIS (BILLING OFFICER)
(805) 495-9488
Entity
Organization
Contact information
Practice address
509 MARIN ST, SUITE 134, THOUSAND OAKS, CA 91360-4261
(805) 495-9488
(805) 495-9951
Mailing address
509 MARIN ST, SUITE 134, THOUSAND OAKS, CA 91360-4261
(805) 495-9488
(805) 495-9951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G63795
CA
Other
Enumeration date
01/04/2007
Last updated
08/15/2007
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