Provider Demographics
NPI:1114060720
Name:NAGELBERG, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:NAGELBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8504 FIRESTONE BLVD.
Mailing Address - Street 2:#399
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5003
Mailing Address - Country:US
Mailing Address - Phone:562-803-6116
Mailing Address - Fax:562-803-6308
Practice Address - Street 1:10800 PARAMOUNT BLVD
Practice Address - Street 2:#204A
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5003
Practice Address - Country:US
Practice Address - Phone:562-803-6116
Practice Address - Fax:562-803-6308
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51854173000000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No173000000XOther Service ProvidersLegal Medicine