Rudolph, Steven E

Rudolph, Steven E is an individual health care provider with primary practice located at 11230 Sorrento Valley Rd Ste 135 , San Diego CA 92121. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is his primary health care specialty. Rudolph, Steven E can be contacted via phone (858) 450-6650.

Contact Information

Primary practice address
11230 Sorrento Valley Rd Ste 135 San Diego CA 92121
Phone: (858) 450-6650
Fax: (858) 450-6651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20A6389 California
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 20A6389 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2046389 California

Profile Details

NPI number 1316085293
LBN Legal business name Rudolph, Steven E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 7th, 2023 - about last year

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 1316085293 NPPES
California Other 20A6389 LICENSE

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