Provider Demographics
NPI:1356747539
Name:GIORGI, LOUIS J (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:GIORGI
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 1:80 VERNAL CT
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-1231
Mailing Address - Country:US
Mailing Address - Phone:925-932-5472
Mailing Address - Fax:925-943-5256
Practice Address - Street 1:80 VERNAL CT
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1231
Practice Address - Country:US
Practice Address - Phone:925-932-5472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE18356251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable