Healthcare Provider Details

I. General information

NPI: 1477465946
Provider Name (Legal Business Name): STEVEN S PAHLAVAN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3052 CAMINO DEL ZURO
THOUSAND OAKS CA
91360-4603
US

IV. Provider business mailing address

3052 CAMINO DEL ZURO
THOUSAND OAKS CA
91360-4603
US

V. Phone/Fax

Practice location:
  • Phone: 805-506-1057
  • Fax:
Mailing address:
  • Phone: 805-506-1057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number483492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: