Provider Demographics
NPI: | 1821560582 |
---|---|
Name: | STEVEN C. PRESSER MD |
Entity Type: | Organization |
Organization Name: | STEVEN C. PRESSER MD |
Other - Org Name: | STEVEN C PRESSER MD |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | STEVEN |
Authorized Official - Middle Name: | CHARLES |
Authorized Official - Last Name: | PRESSER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 310-498-2871 |
Mailing Address - Street 1: | 292 S LA CIENEGA BLVD STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | BEVERLY HILLS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90211-3337 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 424-320-5848 |
Mailing Address - Fax: | 424-320-5798 |
Practice Address - Street 1: | 292 S LA CIENEGA BLVD STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | BEVERLY HILLS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90211-3337 |
Practice Address - Country: | US |
Practice Address - Phone: | 424-320-5848 |
Practice Address - Fax: | 424-320-5798 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-12-19 |
Last Update Date: | 2019-11-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty |