Individual
STEPHEN B FIERSTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
(310) 550-5858
(310) 550-5775
Mailing address
145 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
(310) 550-5858
(310) 550-5775
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G21040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G210400
BLUE SHIELD
CA
Enumeration date
04/06/2006
Last updated
07/08/2007
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