Provider Demographics
NPI:1942311832
Name:TSIMEREKIS, CHRIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:TSIMEREKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG811410207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG81141Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CAG85379Medicare UPIN