Healthcare Provider Details

I. General information

NPI: 1588851372
Provider Name (Legal Business Name): STEPHEN MICHAEL ESKAROS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

17261 CHATHAM LN
HUNTINGTON BEACH CA
92649-6419
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-8111
  • Fax:
Mailing address:
  • Phone: 714-925-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA104081
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberA104081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: