Dada, Stephen A

Dada, Stephen A is an sole proprietor health care provider with primary practice located at 36320 Inland Valley Dr. Suite 101A, Wildomar CA 92595-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dada, Stephen A can be contacted via phone (951) 698-3000.

Contact Information

Primary practice address
36320 Inland Valley Dr. Suite 101A Wildomar CA 92595-7512
Phone: (951) 698-3000
Fax: (951) 698-7700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A86832 California

Profile Details

NPI number 1710040605
LBN Legal business name Dada, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 27th, 2023 - about 2 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 1710040605 NPPES
California MEDICAID 1710040605
California Other ET544A

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