Stevens, Gerald
Stevens, Gerald is an individual health care provider with primary practice located at 31872 South Coast Highway , Laguna Beach CA 92651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stevens, Gerald can be contacted via phone (949) 499-7195.Contact Information
Primary practice address
31872 South Coast Highway
Laguna Beach CA 92651
Phone: (949) 499-7195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A42565 | California |
Profile Details
| NPI number | 1104878040 |
|---|---|
| LBN Legal business name | Stevens, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| 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 | 1104878040 | NPPES |
| California | Other | 00A426570 | BLUE SHIELD |
Popular Providers
-
Meng, Tze-Kong
31872 South Coast Highway Radiology Department, Laguna Beach CA 92651 -
Szymanowski, Jeremy
24451 Health Center Dr , Laguna Hills CA 92653-3689 -
Esrig, Aaron
2505 Kilo Way , Laguna Beach CA 92651-4020 -
Ronaghi, Amir H
31872 Coast Hwy , Laguna Beach CA 92651-6773 -
Lazere, Andrew
31872 South Coast Highway Radiology Department, Laguna Beach CA 92651 -
Wong, James G.
24451 Health Center Dr , Laguna Hills CA 92653-3689 -
Wasley, Richard
31872 South Coast Highway Radiology Department, Laguna Beach CA 92651 -
Markle, Lauralyn Reynolds
24401 Calle De La Louisa Ste 200 , Laguna Hills CA 92653-3624