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Organization
KEVIN STEPHANOFF, M.D., INC.
Active
Organization
KEVIN STEPHANOFF, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN STEPHANOFF MD (PRESIDENT)
(310) 308-9014
Entity
Organization
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 308-9014
Mailing address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 308-9014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962907386
—
CA
Enumeration date
06/18/2022
Last updated
06/24/2022
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