Kubaska, Stephen Michael

Kubaska, Stephen Michael is an individual health care provider with primary practice located at 1211 W. La Palma Avenue Suite 505, Anaheim CA 92801-2812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Kubaska, Stephen Michael can be contacted via phone (714) 778-1032.

Contact Information

Primary practice address
1211 W. La Palma Avenue Suite 505 Anaheim CA 92801-2812
Phone: (714) 778-1032
Fax: (714) 780-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 000000G86545 California

Profile Details

NPI number 1952481160
LBN Legal business name Kubaska, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 24th, 2011 - about 13 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 1952481160 NPPES
California MEDICAID 00G865450

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