Individual
STEFAN ANDREW UNTERHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 WILSHIRE BLVD, SUITE 201, BEVERLY HILLS, CA 90211-1838
(310) 274-2722
(310) 275-1082
Mailing address
9001 WILSHIRE BLVD, SUITE 201, BEVERLY HILLS, CA 90211-1838
(310) 274-2722
(310) 275-1082
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A33152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A331520
—
CA
01
—
110011556
MEDICARE RAILROAD
—
Enumeration date
01/26/2007
Last updated
07/08/2007
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