Individual
MR. STEVEN ANTHONY PAVKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 460-1796
(714) 996-9267
Mailing address
PO BOX 1449, BREA, CA 92822-1449
(714) 996-1633
(714) 996-9267
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G74968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G749680
BLUE SHIELD
CA
05
—
00G749680
—
CA
01
—
440002887
RAILROAD RETIREMENT
GA
Enumeration date
10/19/2006
Last updated
09/05/2020
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