Provider Type Icon

S. STEVEN PODSTRELENY DDS PC NPI 1023322468


NPI Information

NPI: 1023322468
Provider Name: S. STEVEN PODSTRELENY, DDS, PC

Doing Business As: PARK BLVD ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4067 PARK BLVD
SAN DIEGO, CA
ZIP 92103
Phone: (619) 795-0154
Get Directions

S. STEVEN PODSTRELENY, DDS, PC is an oral and maxillofacial surgery dentist in San Diego, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. S. STEVEN PODSTRELENY, DDS, PC NPI is 1023322468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Blvd Oral Surgery.

The provider's business location address is:

4067 PARK BLVD
SAN DIEGO, CA
ZIP 92103-619
Phone: (619) 795-0154
Fax: (619) 795-0512

The provider's authorized official is Stjepan Steven Podstreleny .
The authorized official title is Owner and has the following contact phone number (619) 795-0154.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery50861CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.