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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104814086 NPPES
California MEDICAID 00A263260

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