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Organization

STEVEN M. BACK MD APC

Active
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Organization

STEVEN M. BACK MD APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN M BACK M.D. (PRESIDENT)
(213) 403-1780
Entity
Organization

Contact information

Practice address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(310) 665-7150
(310) 665-7171
Mailing address
PO BOX 4148, TORRANCE, CA 90510-4148
(310) 792-3914
(310) 792-3802

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78879
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A78879
STATE LICENSE
CA
Enumeration date
10/07/2009
Last updated
10/07/2009
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