Provider Demographics
NPI:1841889961
Name:ASTERIOS TSIMPAS MD MSC MBA INC
Entity type:Organization
Organization Name:ASTERIOS TSIMPAS MD MSC MBA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCKRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-388-5027
Mailing Address - Street 1:26732 CROWN VALLEY PKWY STE 541
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6376
Mailing Address - Country:US
Mailing Address - Phone:949-388-7190
Mailing Address - Fax:949-388-7150
Practice Address - Street 1:26732 CROWN VALLEY PKWY STE 541
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6376
Practice Address - Country:US
Practice Address - Phone:949-388-7190
Practice Address - Fax:949-388-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty