MEDICARE: STEVEN GIRDLER 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	207XS0117X	Orthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number	:	1891647483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN GIRDLER INC.

Provider Business Mailing Address
First Line	:	4551 GLENCOE AVE STE 145
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4551 GLENCOE AVE STE 145
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6385
Country	:	US
Telephone Number	:	502-488-0050
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEVEN GIRDLER
Credential	:
Telephone Number	:	502-488-0050

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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