Basic Information
| Provider Information | |||||||||
| NPI: | 1407044050 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEIJN | ||||||||
| FirstName: | MILAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1178 N TUSTIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928676006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494124913 | ||||||||
| FaxNumber: | 7145445570 | ||||||||
| Practice Location | |||||||||
| Address1: | 1178 N TUSTIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928676006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494124913 | ||||||||
| FaxNumber: | 7145445570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 01/21/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT18163 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.