MEDICARE: DR. STEPHEN ROSS BOCHNER MD

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	207V00000X	Obstetrics & Gynecology Physician	42520	CA

General Provider Information

NPI Number	:	1972486272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ROSS BOCHNER MD

Provider Business Mailing Address
First Line	:	23823 MALIBU RD STE 50-399
Second Line	:
City	:	MALIBU
State	:	CA
Zip	:	90265-4628
Country	:	US
Telephone Number	:	415-999-5630
Fax Number	:

Provider Business Practice Location Address
First Line	:	23823 MALIBU RD STE 50-399
Second Line	:
City	:	MALIBU
State	:	CA
Zip	:	90265-4628
Country	:	US
Telephone Number	:	415-999-5630
Fax Number	:

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

Provider Enumeration Date	:	07/26/2025
Last Update Date	:	07/26/2025

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