Provider Demographics
NPI:1508664798
Name:GEORGE NASR MD PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:GEORGE NASR MD PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HANY
Authorized Official - Last Name:NASR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-822-6761
Mailing Address - Street 1:557 STURGEON DR
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3112
Mailing Address - Country:US
Mailing Address - Phone:562-822-6761
Mailing Address - Fax:
Practice Address - Street 1:234 E COMMONWEALTH AVE STE 200
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1911
Practice Address - Country:US
Practice Address - Phone:562-822-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty