Provider Demographics
NPI:1801907704
Name:CHRIS TSIMEREKIS, M.D., INC.
Entity type:Organization
Organization Name:CHRIS TSIMEREKIS, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIMEREKIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-549-9927
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:SUITE 354
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7506
Mailing Address - Country:US
Mailing Address - Phone:714-549-9927
Mailing Address - Fax:714-556-9075
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 354
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-549-9927
Practice Address - Fax:714-556-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG811410207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty