Provider Demographics
NPI:1730127069
Name:HEBERT, STEPHEN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:HEBERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 WEST ARBOR DR
Mailing Address - Street 2:MC8433 UCSD REPRODUCTIVE MEDICINE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-8433
Mailing Address - Country:US
Mailing Address - Phone:619-543-6906
Mailing Address - Fax:619-543-3703
Practice Address - Street 1:200 WEST ARBOR DR
Practice Address - Street 2:MC8201 UCSD MEDICAL CENTER
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8201
Practice Address - Country:US
Practice Address - Phone:619-543-6600
Practice Address - Fax:619-543-3183
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-10-18
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Provider Licenses
StateLicense IDTaxonomies
CAG40602207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G406020Medicaid
CA00G406020Medicaid
A48287Medicare UPIN