Provider Demographics
NPI:1730199019
Name:STEPHEN POSES M.D., P.C.
Entity type:Organization
Organization Name:STEPHEN POSES M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:POSES
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:760-230-6043
Mailing Address - Street 1:5055 AVENIDA ENCINAS
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-4375
Mailing Address - Country:US
Mailing Address - Phone:760-230-6043
Mailing Address - Fax:760-918-9006
Practice Address - Street 1:5055 AVENIDA ENCINAS
Practice Address - Street 2:SUITE 100
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-4375
Practice Address - Country:US
Practice Address - Phone:760-230-6043
Practice Address - Fax:760-918-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79808207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467461418OtherNPI
CA4306094510000OtherMEDICARE ID
1467461418OtherNPI