Basic Information
Provider Information
NPI: 1104803188
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHIFFMAN
FirstName: GEORGE
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 26522 LA ALAMEDA
Address2: SUITE 120
City: MISSION VIEJO
State: CA
PostalCode: 926916330
CountryCode: US
TelephoneNumber: 9492821671
FaxNumber: 9493670518
Practice Location
Address1: 26800 CROWN VALLEY PKWY
Address2: SUITE 205
City: MISSION VIEJO
State: CA
PostalCode: 926916384
CountryCode: US
TelephoneNumber: 9493643330
FaxNumber: 9493642886
Other Information
ProviderEnumerationDate: 12/29/2005
LastUpdateDate: 01/28/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XG50558CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XG50558CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
00G50558005CA MEDICAID


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