Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E2835 | CA |
N | 222Z00000X | Podiatrist | E2835 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E2835 | CA |
N | 213ES0131X | Foot Surgery | E2853 | CA |
NPI | 1376540534 |
---|---|
Provider Name | Dr. Steven Paul Plaskin |
First Address | Chula Vista, CA 91910-3813 |
Second Address | Chula Vista, CA 91910-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E28351 | (05) | CA |
T19241 | (02) | CA |