1922281666 NPI number — STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION

Table of content: (NPI 1922281666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922281666 NPI number — STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922281666
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17742 BEACH BLVD
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-848-8585
Provider Business Mailing Address Fax Number:
714-848-0766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16300 SAND CANYON AVE
Provider Second Line Business Practice Location Address:
SUITE 609
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-848-8585
Provider Business Practice Location Address Fax Number:
714-848-0766
Provider Enumeration Date:
12/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WEINSTEIN
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
FRANK
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
714-848-8585

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  G23590 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com