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Provider Information for 1982876041



DR. STEVEN MARC DAINES M.D.

Gender: MALE

Individual NPI: 1982876041

Calendar Last Updated: 2013-02-21

Details

Name Value
NPI 1982876041
Enumeration Date 2008-03-28
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 15847
NEWPORT BEACH, CA 92659-5847
United States

Phone: 949-209-1622 | Fax: 949-209-1623
View Map External Link
Primary Practice Address 180 NEWPORT CENTER DR SUITE 158
NEWPORT BEACH, CA 92660-6972
United States

Phone: 949-209-1622 | Fax: 949-209-1623
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207YX0905X - Otolaryngology Otolaryngology/Facial Plastic Surgery CA A120244