Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 000000 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A110265 | CA |
NPI | 1215172937 |
---|---|
Provider Name | Dr. Steve Rad |
First Address | West Hollywood, CA 90048-5901 |
Second Address | Santa Monica, CA 90404-2303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2008 |
Last Update Date | 28/08/2020 |