Provider Demographics
NPI:1922281666
Name:STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION
Other - Org Name:ALLERGY AND ASTHMA SPECIALISTS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-848-8585
Mailing Address - Street 1:17742 BEACH BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647
Mailing Address - Country:US
Mailing Address - Phone:714-848-8585
Mailing Address - Fax:714-848-0766
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:SUITE 609
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:714-848-8585
Practice Address - Fax:714-848-0766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-17
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23590207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42008Medicare PIN
CAW6767CMedicare PIN