Healthcare Provider Details
I. General information
NPI: 1841731254
Provider Name (Legal Business Name): STEVEN REED PLIMPTON MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/17/2017
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
757 WESTWOOD PLZ STE 1638
LOS ANGELES CA
90095-7437
US
IV. Provider business mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90095-7437
US
V. Phone/Fax
- Phone: 310-267-8758
- Fax: 310-267-2059
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | A158426 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: