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Individual

STEVEN HARTZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PUEBLO AT BATH, SANTA BARBARA, CA 93101-4390
(805) 569-7279
(805) 569-8279
Mailing address
PO BOX 4219, ORANGE, CA 92863-4219
(714) 571-5000
(714) 571-5055

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G53570
CA
2085R0204X
Vascular & Interventional Radiology Physician
G53570
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G535700
BLUE SHIELD OF CA
05
00G535700
CA
01
050396CE02736
TRAILBLAZER
01
300030260
RAILROAD MEDICARE
Enumeration date
07/18/2005
Last updated
08/18/2008
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