Healthcare Provider Details

I. General information

NPI: 1528023629
Provider Name (Legal Business Name): DAVID C. STEGE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 10/02/2021
Certification Date: 10/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MAREBLU SUITE 240
ALISO VIEJO CA
92656-3015
US

IV. Provider business mailing address

15 MAREBLU SUITE 240
ALISO VIEJO CA
92656-3015
US

V. Phone/Fax

Practice location:
  • Phone: 949-831-4000
  • Fax:
Mailing address:
  • Phone: 949-831-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE3013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: