Individual
MR. STEVAN PAUL ABT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6640 ALTON PKWY, IRVINE, CA 92618-3734
(949) 932-5000
Mailing address
65 PALATINE APT 453, IRVINE, CA 92612-0609
(310) 749-9112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001669
CA
Other
Enumeration date
01/21/2022
Last updated
09/26/2023
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