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Contact Information

GLORIA J STEVENS, MD
954 W FOOTHILL BLVD STE B
UPLAND, CA91786
 Phone: 909-949-7500
 Fax: 909-946-1133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for GLORIA J STEVENS · (Female)

NPI # 1699836288
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G058338
  • CA Medicaid 8357422
  • CA Other 330357267 AETNA
  • CA Other 330357267 BLUE CROSS
  • CA Other 330357267 BLUE SHEILD
  • CA Other 330357267 CCN
  • CA Other 330357267 HEALTH NET
  • CA Other 330357267 PACIFICARE
  • CA Other 330357267 TRI CARE
  • CA Other 330357267 UNITED HEALTH CARE
Hospital affiliation(s)
  • POMONA VALLEY HOSPITAL MEDICAL CENTER - (Acute Care)
    1798 N GAREY AVE
    POMONA, CA 91767
  • SAN ANTONIO COMMUNITY HOSPITAL - (Acute Care)
    999 SAN BERNARDINO RD
    UPLAND, CA 91786
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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