Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A76505 | CA |
Y | 207PE0004X | Emergency Medical Services | A76505 | CA |
NPI | 1134190226 |
---|---|
Provider Name | Dr. Robert Steele |
First Address | Murrieta, CA 92562-8571 |
Second Address | Loma Linda, CA 92354-2751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2006 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H20428 | (02) | CA |