Individual
DR. DEBRA LOUISE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6051 WEST SAN VICENTE BLVD, LOS ANGELES, CA 90036
(323) 954-9162
Mailing address
6051 SAN VICENTE BLVD, LOS ANGELES, CA 90036-4401
(323) 954-9161
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G74521
CA
Other
Enumeration date
11/02/2006
Last updated
05/28/2024
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