MEDICARE: DR. ANNE K. STEWART M.D.

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	207R00000X	Internal Medicine Physician	G81636	CA

General Provider Information

NPI Number	:	1578556197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE K. STEWART M.D.

Provider Business Mailing Address
First Line	:	PO BOX 54118
Second Line	:	SUITE 705
City	:	LOS ANGELES
State	:	CA
Zip	:	90054-0118
Country	:	US
Telephone Number	:	760-520-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 WASHINGTON ST
Second Line	:	SUITE 705
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2231
Country	:	US
Telephone Number	:	619-298-0256
Fax Number	:

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/22/2017

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