Sentovich, Stephen M

Sentovich, Stephen M is an individual health care provider with primary practice located at 209 Fair Oaks Ave , South Pasadena CA 91030-1814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Sentovich, Stephen M can be contacted via phone (626) 396-2900.

Contact Information

Primary practice address
209 Fair Oaks Ave South Pasadena CA 91030-1814
Phone: (626) 396-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G65171 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 79913 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 79913 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G65171 California

Profile Details

NPI number 1245293760
LBN Legal business name Sentovich, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Nov 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 1245293760 NPPES
Massachusetts MEDICAID 110054757A

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