Healthcare Provider Details

I. General information

NPI: 1891368007
Provider Name (Legal Business Name): STEVEN VASILEV, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 TRAFFIC WAY
ARROYO GRANDE CA
93420-3376
US

IV. Provider business mailing address

154 TRAFFIC WAY
ARROYO GRANDE CA
93420-3376
US

V. Phone/Fax

Practice location:
  • Phone: 424-255-1340
  • Fax: 805-935-4338
Mailing address:
  • Phone: 424-255-1340
  • Fax: 805-935-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEVEN VASILEV
Title or Position: CEO
Credential: MD
Phone: 626-676-0514