Provider Demographics
NPI:1053651497
Name:GEISS, JOHN MARK (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARK
Last Name:GEISS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2592 N SANTIAGO BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1862
Mailing Address - Country:US
Mailing Address - Phone:855-434-7763
Mailing Address - Fax:949-281-5550
Practice Address - Street 1:2592 N SANTIAGO BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-1862
Practice Address - Country:US
Practice Address - Phone:714-577-2271
Practice Address - Fax:949-981-5550
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2023-10-31
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Provider Licenses
StateLicense IDTaxonomies
CA20A12647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine