Lis, Julian George

Lis, Julian George is an individual health care provider with primary practice located at 4077 5Th Ave , San Diego CA 92103-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lis, Julian George can be contacted via phone (619) 260-7095.

Contact Information

Primary practice address
4077 5Th Ave San Diego CA 92103-2105
Phone: (619) 260-7095
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G77160 California

Profile Details

NPI number 1932100062
LBN Legal business name Lis, Julian George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 3rd, 2008 - about 18 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 1932100062 NPPES
California MEDICAID 00G77160
California MEDICAID 00G771600

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