Simon, Stephen M

Simon, Stephen M is an individual health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Simon, Stephen M can be contacted via phone (949) 364-7744.

Contact Information

Primary practice address
27700 Medical Center Rd Mission Viejo CA 92691-6426
Fax: (949) 364-4233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G50753 California

Profile Details

NPI number 1285618389
LBN Legal business name Simon, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 30th, 2007 - about 17 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 1285618389 NPPES
California Other 00G507530 BLUE SHIELD OF CA
California MEDICAID 00G50753 BLUE SHIELD OF CA

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