Gedissman, Alberto
Gedissman, Alberto is an individual health care provider with primary practice located at 1515 S Broadway Suite A, Santa Ana CA 92707-2253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gedissman, Alberto can be contacted via phone (714) 919-0280.Contact Information
Primary practice address
1515 S Broadway Suite A
Santa Ana CA 92707-2253
Phone: (714) 919-0280
Fax: (714) 288-8970
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A26326 | California |
Profile Details
NPI number | 1104814086 |
---|---|
LBN Legal business name | Gedissman, Alberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Nov 7th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104814086 | NPPES |
California | MEDICAID | 00A263260 |
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