Individual
DR. STEVEN THOMAS HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3111 CAMINO DEL RIO N STE 400, SAN DIEGO, CA 92108-5724
(619) 837-9776
Mailing address
650 N ROSE DR, #472, PLACENTIA, CA 92870-7513
(714) 345-6944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
743486
CA
2084P0802X
Addiction Psychiatry Physician
Primary
95003401
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95003401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250011355
—
NV
Enumeration date
12/20/2012
Last updated
01/25/2024
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