Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | G16853 | CA |
NPI | 1578675021 |
---|---|
Provider Name | Dr. Stephen B. Meisel |
First Address | Santa Monica, CA 90403-4803 |
Second Address | Santa Monica, CA 90403-4803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |