Provider Demographics
NPI:1285005249
Name:DO, STEVEN (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:DO
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E ARTESIA ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2900
Mailing Address - Country:US
Mailing Address - Phone:909-629-7878
Mailing Address - Fax:909-629-2850
Practice Address - Street 1:160 E ARTESIA ST
Practice Address - Street 2:SUITE 225
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2900
Practice Address - Country:US
Practice Address - Phone:909-629-7878
Practice Address - Fax:909-629-2850
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily