MEDICARE: STEPHEN S EHRLICH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	G58587	CA
2	207RC0000X	Cardiovascular Disease Physician	G58587	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700862547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN S EHRLICH M.D.

Provider Business Mailing Address
First Line	:	27800 MEDICAL CENTER RD
Second Line	:	SUITE 222
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6410
Country	:	US
Telephone Number	:	949-276-2446
Fax Number	:	949-276-2449

Provider Business Practice Location Address
First Line	:	27800 MEDICAL CENTER RD
Second Line	:	SUITE 222
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6410
Country	:	US
Telephone Number	:	949-276-2446
Fax Number	:	949-276-2449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	02/17/2012

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Directions to “ STEPHEN S EHRLICH M.D.” Practice Location

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