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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104878040 NPPES
California Other 00A426570 BLUE SHIELD

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