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NPI Code Detail

MEDICARE: STEVEN SAGE

MEDICARE:   STEVEN  SAGE
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
1183500000XPharmacist62890CA

General Provider Information

NPI Number : 1720471790
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN SAGE
Provider Business Mailing Address
First Line : 4251 OCEANSIDE BLVD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-3471
Country : US
Telephone Number : 760-806-3225
Fax Number : 760-806-7624
Provider Business Practice Location Address
First Line : 4251 OCEANSIDE BLVD
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-3471
Country : US
Telephone Number : 760-806-3225
Fax Number : 760-806-7624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 03/13/2015

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Directions to “ STEVEN SAGE ” Practice Location

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