Steven E Rudolph in San Diego - Child & Adolescent Psychiatry

Steven E Rudolph - NPI 1316085293

Steven E Rudolph is a Child & Adolescent Psychiatry in San Diego, California. Steven E Rudolph practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Steven E Rudolph is 1316085293. The last update date is 2023-03-07.

Steven E Rudolph's current location address is 11230 Sorrento Valley Rd Ste 135, San Diego, California. You can contact this provider via phone number 8584506650 and fax number 8584506651. The mailing address for Steven E Rudolph is 11230 Sorrento Valley Rd Ste 135, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven E Rudolph
Address 11230 Sorrento Valley Rd Ste 135, San Diego, California
Phone Number 8584506650
Fax Number 8584506651
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1316085293
Provider Enumeration Date 2007-02-02
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 11230 Sorrento Valley Rd Ste 135
City San Diego
State California (CA)
Post Code 92121
Phone Number 8584506650
Fax Number 8584506651

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 2046389
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20A6389 CA LICENSE

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FAQs about Steven E Rudolph

What is the unique 10-digit identifier code assigned to Steven E Rudolph by the Centers for Medicare & Medicaid Services?

The Steven E Rudolph has been issued the NPI (National Provider Identifier) 1316085293 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Steven E Rudolph is physically located?

The Steven E Rudolph is physically situated at the following address: 11230 Sorrento Valley Rd Ste 135, San Diego, CA, 92121.

What is Steven E Rudolph's specialized field of practice, and what is the corresponding taxonomy classification code?

The Steven E Rudolph's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.

When was the Steven E Rudolph's 1316085293 issued?

The Steven E Rudolph's 1316085293 was issued on 2007-02-02.

As of what date were the Steven E Rudolph's details last updated?

The information pertaining to the Steven E Rudolph, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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