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Organization
ROBERT A. DE STEFANO, M.D., INC.
Active
Organization
ROBERT A. DE STEFANO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ACHILLE DE STEFANO M.D. (OWNER-CEO)
(818) 222-7495
Entity
Organization
Contact information
Practice address
23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
(818) 222-7495
(818) 222-7498
Mailing address
23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
(818) 222-7495
(818) 222-7498
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A21674
CA
261QM2500X
Medical Specialty Clinic/Center
G58593
CA
Other
Enumeration date
03/12/2007
Last updated
10/07/2010
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