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NPI Code Detail

MEDICARE: ANDY PLISKO M.D

MEDICARE: ANDY PLISKO M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianG50741CA

General Provider Information

NPI Number : 1295728962
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDY PLISKO M.D
Provider Business Mailing Address
First Line : PO BOX 4030
Second Line :
City : FULLERTON
State : CA
Zip : 92834-4030
Country : US
Telephone Number : 714-992-4444
Fax Number : 714-879-9999
Provider Business Practice Location Address
First Line : 12401 WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90602-1006
Country : US
Telephone Number : 562-698-0811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 03/08/2026

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