Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A71104 | CA |
NPI | 1194755660 |
---|---|
Provider Name | Dr. Steven A Floum |
First Address | Claremont, CA 91711-0788 |
Second Address | Pomona, CA 91767-2918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A711040 | (05) | CA |
H60446 | (02) | CA |