Provider Demographics
NPI:1184038093
Name:MINIMALLY INVASIVE SURGEONS OF NORTH COUNTY INC.
Entity Type:Organization
Organization Name:MINIMALLY INVASIVE SURGEONS OF NORTH COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:FIERER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-845-2863
Mailing Address - Street 1:2385 S MELROSE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8788
Mailing Address - Country:US
Mailing Address - Phone:760-300-3647
Mailing Address - Fax:
Practice Address - Street 1:2385 S MELROSE DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-8788
Practice Address - Country:US
Practice Address - Phone:760-300-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty