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Steven Hartzman
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NPI Number Detailed Information
Provider Information:
Name: | Steven Hartzman |
Gender: | M |
Provider License Number If Given: | G53570 |
NPI Information:
NPI: | 1255330833 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/18/2005 |
Last Update Date: | 8/18/2008 |
Provider Business Mailing Address:
Address: | PO BOX 4219 Orange, CA 92863 |
Phone Number: | 7145715000 |
Fax Number: | 7145715055 |
Provider Business Practice Location Address:
Address: | PUEBLO AT BATH Santa Barbara, CA 93101 |
Phone Number: | 8055697279 |
Fax Number: | 8055698279 |
Provider Taxonomy:
Primary: | 2085R0202X |
Secondary (if any): | 2085R0204X |
State: | CA |