# STEPHANIE PULIKKOTTIL JOSEPH M.D. MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1871039909
- **Authorized official:** JEFF SCHEIDEGGER (BILLING MANAGER)
- **Authorized official phone:** (925) 820-4335

## Contact information

- **Practice address:** 345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
- **Practice address phone:** (805) 489-4261
- **Mailing address:** PO BOX 324, DANVILLE, CA 94526-0324
- **Mailing address phone:** (925) 820-4335
- **Mailing address fax:** (925) 820-7996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A137779 | CA | Yes |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 03/21/2017