Provider Demographics
NPI:1376510966
Name:GINEX, STEVEN LOUIS (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LOUIS
Last Name:GINEX
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74050 ALESSANDRO DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3705
Mailing Address - Country:US
Mailing Address - Phone:760-340-3232
Mailing Address - Fax:
Practice Address - Street 1:74050 ALESSANDRO DR
Practice Address - Street 2:SUITE A
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3705
Practice Address - Country:US
Practice Address - Phone:760-340-3232
Practice Address - Fax:760-776-1424
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3893213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E38930Medicaid
CA000E38930Medicaid
000E38930Medicare ID - Type Unspecified