MEDICARE: STEVEN STEWART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CI44630924	CA

General Provider Information

NPI Number	:	1063130409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN STEWART

Provider Business Mailing Address
First Line	:	6380 WILSHIRE BLVD STE 850
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5014
Country	:	US
Telephone Number	:	310-341-4887
Fax Number	:

Provider Business Practice Location Address
First Line	:	6380 WILSHIRE BLVD STE 850
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5014
Country	:	US
Telephone Number	:	310-341-6496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	05/13/2025

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Directions to “ STEVEN STEWART ” Practice Location

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