Provider Demographics
NPI:1659427912
Name:APOSTOLIDES, JOHN GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GEORGE
Last Name:APOSTOLIDES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3368 TRUMBULL ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2423
Mailing Address - Country:US
Mailing Address - Phone:310-871-9448
Mailing Address - Fax:
Practice Address - Street 1:1322 SCOTT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2747
Practice Address - Country:US
Practice Address - Phone:619-222-3339
Practice Address - Fax:619-223-3339
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA111220208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery