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DR. STEPHEN DAVID CEDERBAUM M.D. NPI 1932121217


NPI Information

NPI: 1932121217
Provider Name: DR. STEPHEN DAVID CEDERBAUM, M.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
10833 LE CONTE AVE
12-441 MDCC
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-3952
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DR. Stephen David Cederbaum, M.D. is a clinical genetics (m.d.) medical genetics in Los Angeles, CA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Stephen David Cederbaum, M.D. NPI is 1932121217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10833 LE CONTE AVE
12-441 MDCC
LOS ANGELES, CA
ZIP 90095-075
Phone: (310) 206-3952
Fax: (310) 206-0209

The NPI 1932121217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/9/2007.


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
1207SG0201XMedical GeneticsClinical Genetics (M.D.)G20126CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G201260MEDICAIDCALIFORNIA
2A40848MEDICARE UPINCALIFORNIA
3W11810MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4WG20126AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5GR0053510MEDICAIDCALIFORNIA

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.