Healthcare Provider Details

I. General information

NPI: 1275580466
Provider Name (Legal Business Name): STEVEN L PRENZLAUER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PINE ST STE 1250
SAN FRANCISCO CA
94111-5235
US

IV. Provider business mailing address

4995 N ACACIA LN
TUCSON AZ
85745-9262
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 503-896-4986
  • Fax: 503-224-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2007-0146
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG163051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: