Healthcare Provider Details

I. General information

NPI: 1922281666
Provider Name (Legal Business Name): STEVEN F WEINSTEIN MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 SAND CANYON AVE SUITE 609
IRVINE CA
92618
US

IV. Provider business mailing address

17742 BEACH BLVD SUITE 310
HUNTINGTON BEACH CA
92647
US

V. Phone/Fax

Practice location:
  • Phone: 714-848-8585
  • Fax: 714-848-0766
Mailing address:
  • Phone: 714-848-8585
  • Fax: 714-848-0766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberG23590
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN FRANK WEINSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 714-848-8585