Provider Demographics
NPI:1356439657
Name:STEVEN R DROSMAN MD INC
Entity Type:Organization
Organization Name:STEVEN R DROSMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MD
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DROSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-260-0066
Mailing Address - Street 1:3651 4TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4140
Mailing Address - Country:US
Mailing Address - Phone:619-260-0066
Mailing Address - Fax:619-260-0726
Practice Address - Street 1:3651 4TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4140
Practice Address - Country:US
Practice Address - Phone:619-260-0066
Practice Address - Fax:619-260-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC29515Medicare PIN
E01705Medicare UPIN