MEDICARE: STELING HEALTH MEDICAL GROUP INC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E3729	CA

General Provider Information

NPI Number	:	1700835717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELING HEALTH MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	11631 VICTORY BLVD
Second Line	:	SUITE 201
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3572
Country	:	US
Telephone Number	:	310-466-0449
Fax Number	:

Provider Business Practice Location Address
First Line	:	11631 VICTORY BLVD
Second Line	:	SUITE 201
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3572
Country	:	US
Telephone Number	:	310-466-0449
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. CURLEE ROSS
Credential	:
Telephone Number	:	310-466-0449

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/22/2020

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