Provider Demographics
NPI:1790054393
Name:PAPASTERGIOU, GEORGIOS (MD, PHD)
Entity Type:Individual
Prefix:
First Name:GEORGIOS
Middle Name:
Last Name:PAPASTERGIOU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:GEORGE
Other - Middle Name:IOANNIS
Other - Last Name:PAPASTERGIOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:835 3RD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1352
Mailing Address - Country:US
Mailing Address - Phone:619-425-7755
Mailing Address - Fax:619-425-9057
Practice Address - Street 1:835 3RD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1352
Practice Address - Country:US
Practice Address - Phone:619-425-7755
Practice Address - Fax:619-425-9057
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127706207W00000X
CAA127706207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology