Gardner, Steven Edward

Gardner, Steven Edward is an individual health care provider with primary practice located at 2020 Genesee Ave , San Diego CA 92123-4219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gardner, Steven Edward can be contacted via phone (858) 616-8091.

Contact Information

Primary practice address
2020 Genesee Ave San Diego CA 92123-4219
Phone: (858) 616-8091
Fax: (858) 616-8090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G53689 California

Profile Details

NPI number 1295731990
LBN Legal business name Gardner, Steven Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 28th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295731990 NPPES
California MEDICAID 00G53689

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