Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G40436 | CA |
NPI | 1215979695 |
---|---|
Provider Name | Steven Hayden Gausewitz |
First Address | Newport Beach, CA 92660-7901 |
Second Address | Newport Beach, CA 92660-7901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 10/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A48223 | (02) | CA |
GU955Z | (02) | CA |