Cederbaum, Stephen David

Cederbaum, Stephen David is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles CA 90095-3075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Cederbaum, Stephen David can be contacted via phone (310) 206-3952.

Contact Information

Primary practice address
10833 Le Conte Ave 12-441 Mdcc Los Angeles CA 90095-3075
Fax: (310) 206-0209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G20126 California

Profile Details

NPI number 1932121217
LBN Legal business name Cederbaum, Stephen David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932121217 NPPES
California MEDICAID 00G201260
California MEDICAID GR0053510

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