Individual
DR. STEVEN T. FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 KATELLA AVE, LOS ALAMITOS, CA 90720-2808
(562) 430-7533
(562) 430-8055
Mailing address
5300 KATELLA AVE, LOS ALAMITOS, CA 90720-2808
(562) 430-7533
(562) 430-8055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G85344
CA
207RI0011X
Interventional Cardiology Physician
G85344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G853440
—
CA
Enumeration date
06/10/2006
Last updated
07/21/2022
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