Forman, Stephen

Forman, Stephen is an individual health care provider with primary practice located at 1500 E Duarte Rd , Duarte CA 91010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Forman, Stephen can be contacted via phone (626) 359-8111.

Contact Information

Primary practice address
1500 E Duarte Rd Duarte CA 91010
Phone: (626) 359-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G29700 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G29700 California

Profile Details

NPI number 1184731135
LBN Legal business name Forman, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Dec 11th, 2020 - about 4 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 1184731135 NPPES
California MEDICAID OOG297000

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