# ROBERT A. DE STEFANO, M.D., INC.

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

## Provider details

- **NPI number:** 1578695607
- **Authorized official:** DR. ROBERT ACHILLE DE STEFANO M.D. (OWNER-CEO)
- **Authorized official phone:** (818) 222-7495

## Contact information

- **Practice address:** 23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
- **Practice address phone:** (818) 222-7495
- **Practice address fax:** (818) 222-7498
- **Mailing address:** 23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
- **Mailing address phone:** (818) 222-7495
- **Mailing address fax:** (818) 222-7498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A21674 | CA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | G58593 | CA | — |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 10/07/2010