Provider Demographics
NPI:1487889853
Name:DAVID A STEENBLOCK, D.O. INCORPORATED
Entity type:Organization
Organization Name:DAVID A STEENBLOCK, D.O. INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEENBLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:949-367-8870
Mailing Address - Street 1:26381 CROWN VALLEY PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6301
Mailing Address - Country:US
Mailing Address - Phone:949-367-8870
Mailing Address - Fax:949-367-9779
Practice Address - Street 1:26381 CROWN VALLEY PKWY STE 130
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6301
Practice Address - Country:US
Practice Address - Phone:949-367-7887
Practice Address - Fax:949-367-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4160261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty