Provider Demographics
NPI:1215172937
Name:RAD, STEVE (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:RAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8631 W 3RD ST STE 600A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5910
Mailing Address - Country:US
Mailing Address - Phone:310-299-7561
Mailing Address - Fax:
Practice Address - Street 1:8631 W 3RD ST STE 600A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5910
Practice Address - Country:US
Practice Address - Phone:310-299-7561
Practice Address - Fax:310-299-7695
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110265207VM0101X
CA000000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology