| Doctor Name: | MS. TRACY GEORGIS |
| NPI Number: | 1326203373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., N.P. |
| License Number: | 307097 |
| Business Practice Address: | 1121 Via Zumaya Palos Verdes Estates, CA - 90274 |
| Business Phone Number: | 8585251580 |
| Business Fax Number: | 3105440395 |
| Mailing Address: | 1121 Via Zumaya, PALOS VERDES ESTATES |
| State: | CA |
| Postal Code: | 90274 |
| Phone Number: | 8585251580 |
| Fax Number: | 3105440395 |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 07/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 307097 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |