institution
Stephen B. Prepas, M.d., A Medical Corporation
Specialist in Newport Beach, California
NPI 1225242688

Stephen B. Prepas, M.d., A Medical Corporation is a Specialist based in Newport Beach, CA. Stephen B. Prepas, M.d., A Medical Corporation practices in Newport Beach, CA. The NPI Number for Stephen B. Prepas, M.d., A Medical Corporation is 1225242688 and holds a License No. G32851 (California).

The current practice location address for Stephen B. Prepas, M.d., A Medical Corporation is 360 San Miguel Dr, Newport Beach, CA and can be reached out via phone at 949-644-7026 and via fax at 949-644-7029.

Location: 360 San Miguel Dr, Newport Beach, CA, 92660-7822
institution
Provider Profile Details
NPI Number
1225242688
Provider Name
Stephen B. Prepas, M.d., A Medical Corporation
Credential
Provider Entity Type
Organization
Address
360 San Miguel Dr, Newport Beach, CA, 92660-7822
Phone Number
949-644-7026
Fax Number
949-644-7029
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0044731 01 CA MEDI-CAL
G32851 01 CA LICENSE
00G328510 01 CA BLUE CROSS ID
1023103660 01 CA INDIVIDUAL PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
360 San Miguel Dr
City
State
Zip
92660-7822
Phone Number
949-644-7026
Fax Number
949-644-7029
person
Provider Business Mailing Address Details
Address
360 San Miguel Dr
City
State
Zip
92660-7822
Phone Number
949-644-7026
Fax Number
949-644-7029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G32851 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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