Healthcare Provider Details

I. General information

NPI: 1215069869
Provider Name (Legal Business Name): STEVEN A. BATTAGLIA M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CONGRESS ST STE 103
PASADENA CA
91105-3027
US

IV. Provider business mailing address

10 CONGRESS ST. STE. 103
PASADENA CA
91105
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-6164
  • Fax: 626-796-0883
Mailing address:
  • Phone: 626-796-6164
  • Fax: 626-796-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA78370
License Number StateCA

VIII. Authorized Official

Name: STEVEN A. BATTAGLIA
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 626-796-6164