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Contact Information

STEPHEN FASANO
5472 GENEVA AVE
SAN DIEGO, CA92114-1121
 Phone: 619-961-8526
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Assistant

246ZX2200X
Indicates primary specialty

NPI Profile & details for STEPHEN FASANO · (Male)

NPI # 1295282648
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 07-1142
Hospital affiliation(s) Not Available
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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