# STEPHEN M DAMIANI, D.O., INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396047361
- **Authorized official:** STEPHEN MARIO DAMIANI D.O. (CEO)
- **Authorized official phone:** (760) 946-3366

## Contact information

- **Practice address:** 18092 WIKA RD, STE 110, APPLE VALLEY, CA 92307-2132
- **Practice address phone:** (760) 946-3366
- **Practice address fax:** (760) 946-3866
- **Mailing address:** 18092 WIKA RD, STE 110, APPLE VALLEY, CA 92307-2132
- **Mailing address phone:** (760) 946-3366
- **Mailing address fax:** (760) 946-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 11/24/2010