Provider Demographics
NPI:1740354034
Name:SAWELSON, STEVEN ALAN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALAN
Last Name:SAWELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20911 EARL STREET
Mailing Address - Street 2:SUITE 320
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:310-542-7997
Mailing Address - Fax:310-542-2607
Practice Address - Street 1:20911 EARL ST
Practice Address - Street 2:SUITE 320
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4352
Practice Address - Country:US
Practice Address - Phone:310-542-7997
Practice Address - Fax:310-542-2607
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40947207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A409470OtherMEDI-CAL
CA0A409470OtherMEDI-CAL
CAA40947AMedicare ID - Type Unspecified