1. Home
  2. Directory
  3. California
  4. San Diego
  5. Dentist
  6. NPI Profile

PARK BLVD ORAL SURGERY
NPI 1023322468
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Active since July 27, 2010
4067 PARK BLVD, SAN DIEGO, CA 92103(619) 795-0154(619) 795-0512 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Blvd Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK BLVD ORAL SURGERY (NPI 1023322468) is a healthcare organization registered as an oral and maxillofacial surgery in San Diego, California and active in the NPI registry since July 2010. The organization lists Stjepan Steven Podstreleny, Owner, as its authorized official.

NPPES Registry Identity

NPI1023322468
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameS. STEVEN PODSTRELENY, DDS, PC
Location Address4067 PARK BLVDSan Diego, CA 92103-2619
Mailing Address4067 Park BlvdSan Diego, CA 92103-2619 · (619) 795-0154 · Fax (619) 795-0512
Phone(619) 795-0154
Fax(619) 795-0512
Organization SubpartYesParent: S. Steven Podstreleny, Dds P.c.
Authorized OfficialStjepan Steven PodstrelenyOwner · (619) 795-0154
Enumeration DateJuly 27, 2010
Last NPPES UpdateJuly 16, 2019
✔ NPI 1023322468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 50861
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4067 PARK BLVD, San Diego, CA 92103
Open in Google Maps ↗

Other Names 1

Doing Business AsPark Blvd Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

KEITH D. VRHEL MD INC.
Internal Medicine
4067 PARK BLVD
SAN DIEGO, CA 92103
San Diego County (619) 296-0224

Frequently Asked Questions

What is S. STEVEN PODSTRELENY, DDS, PC's NPI number?

The NPI number assigned to this healthcare provider is 1023322468, enumerated as an "organization" on July 27, 2010.

Where is the provider located?

The provider is located at 4067 PARK BLVD SAN DIEGO, CA 92103 and the phone number is (619) 795-0154.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.