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Individual

MARK GEOFFERY STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 N TUSTIN AVE, BLDG. A, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 285-9084
Mailing address
1100 N TUSTIN AVE, BLDG. A, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 285-9084

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A38805
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A38805
CA
2085U0001X
Diagnostic Ultrasound Physician
A38805
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A388050
CA
Enumeration date
06/22/2006
Last updated
06/16/2015
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