Healthcare Provider Details

I. General information

NPI: 1326368176
Provider Name (Legal Business Name): STEPHEN MICHAEL ESKAROS, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 KATELLA AVE
LOS ALAMITOS CA
90720-3113
US

IV. Provider business mailing address

PO BOX 60790
PASADENA CA
91116-6790
US

V. Phone/Fax

Practice location:
  • Phone: 562-598-1311
  • Fax: 562-799-3133
Mailing address:
  • Phone: 626-204-6747
  • Fax: 626-396-0851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA104081
License Number StateCA

VIII. Authorized Official

Name: DR. STEPHEN MICHAEL ESKAROS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-925-0940