Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A53852 | CA |
NPI | 1013910900 |
---|---|
Provider Name | Steven Tradonsky |
First Address | San Diego, CA 92108-4422 |
Second Address | San Diego, CA 92108-4422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A538520 | (05) | CA |
G16844 | (02) | CA |
W1762 | MEDICARE GROUP (01) | CA |
WA53852B | MEDICARE ID (01) | CA |