Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A121207 | CA |
NPI | 1093919946 |
---|---|
Provider Name | Dr. Asterios Tsimpas |
First Address | Mission Viejo, CA 92691-6376 |
Second Address | Mission Viejo, CA 92691-6376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 28/09/2021 |