Taback, Steven Michael
Taback, Steven Michael is an individual health care provider with primary practice located at 201 S. Buena Vista St. Suite 440, Burbank CA 91505. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Taback, Steven Michael can be contacted via phone (818) 842-4819.Contact Information
Primary practice address
201 S. Buena Vista St. Suite 440
Burbank CA 91505
Phone: (818) 842-4819
Fax: (818) 842-2086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | G062972 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G062972 | California |
Profile Details
| NPI number | 1225004021 |
|---|---|
| LBN Legal business name | Taback, Steven Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 14th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225004021 | NPPES |
| California | MEDICAID | ZZZ77466Z | |
| California | Other | 290004747 |
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