Provider Demographics
NPI:1831251511
Name:STEENBLOCK, DAVID ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:STEENBLOCK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26381 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6368
Mailing Address - Country:US
Mailing Address - Phone:949-367-8870
Mailing Address - Fax:949-367-9779
Practice Address - Street 1:26381 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6368
Practice Address - Country:US
Practice Address - Phone:949-367-8870
Practice Address - Fax:949-367-9779
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4160261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A4160OtherOSTEOPATHIC MEDICAL
CAAS8463349OtherDEA
CAAS8463349OtherDEA
CAB58235Medicare UPIN