Individual
STEPHEN A DADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36320 INLAND VALLEY DR., SUITE 101A, WILDOMAR, CA 92595-7512
(951) 698-3000
(951) 698-7700
Mailing address
36320 INLAND VALLEY DR., SUITE 101A, WILDOMAR, CA 92595-7512
(951) 698-3000
(951) 698-7700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A86832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710040605
—
CA
01
—
ET544A
MEDICARE PTAN
CA
Enumeration date
12/19/2006
Last updated
07/27/2023
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