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
Phone: (949) 364-7744
Fax: (949) 364-4233
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285618389 | NPPES |
| California | Other | 00G507530 | BLUE SHIELD OF CA |
| California | MEDICAID | 00G50753 | BLUE SHIELD OF CA |
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