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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CHARLES STEVENS, MD
1665 S IMPERIAL AVE STE D
EL CENTRO, CA92243-4247
 Phone: 760-482-0212
 Fax: 760-482-0166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CHARLES STEVENS · (Male)

NPI Number 1003001363
Status Active
Credentials MD
Entity Individual
Enumeration date 09/10/2007
Last updated 02/06/2013 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A104563
  • IL License # 036.118504
  • CA Medicaid 7096338
Hospital affiliation(s)
  • EL CENTRO REGIONAL MEDICAL CENTER - (Acute Care)
    1415 ROSS AVENUE
    EL CENTRO, CA 92243
  • EL CENTRO REGIONAL MEDICAL CENTER - (Acute Care)
    1415 ROSS AVENUE
    EL CENTRO, CA 92243
  • PIONEERS MEMORIAL HEALTHCARE DISTRICT - (Acute Care)
    207 WEST LEGION ROAD
    BRAWLEY, CA 92227
  • PIONEERS MEMORIAL HEALTHCARE DISTRICT - (Acute Care)
    207 WEST LEGION ROAD
    BRAWLEY, CA 92227
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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