Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | G 77142 | CA |
NPI | 1821013285 |
---|---|
Provider Name | Dr. Steven R Ey |
First Address | Newport Beach, CA 92658 |
Second Address | Newport Beach, CA 92658-6100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |