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PETER FISCHL MD INC. NPI 1770746646


NPI Information

NPI: 1770746646
Provider Name: PETER FISCHL, MD, INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
16130 KOKANEE RD
STE 104
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-0762
Get Directions

PETER FISCHL, MD, INC. is a vascular surgery surgery in Apple Valley, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PETER FISCHL, MD, INC. NPI is 1770746646. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16130 KOKANEE RD
STE 104
APPLE VALLEY, CA
ZIP 92307-833
Phone: (760) 242-0762
Fax: (760) 242-1803

The provider's authorized official is Peter Fischl .
The authorized official title is President and has the following contact phone number (760) 242-0762.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 3/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryA33580CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A335801MEDICAIDCALIFORNIA
200A335800MEDICARE PINCALIFORNIA
3A27189MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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