SearchCalifornia101YA0400X

Jeffrey Tisor, RADT

NPI 1871151498 · on the registry since 2019

Practice

Address
737 E Grand Ave
Escondido, CA 92025
Phone
(619) 857-1314
Organisation at this address
The Fellowship Center Alcohol Services Program, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California