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Individual

DR. STEFAN BUGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-2806
(323) 442-5425
Mailing address
PO BOX 31218, LOS ANGELES, CA 90031-0218
(626) 457-5839

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A43274
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A432740
BLUE SHIELD
CA
05
00A432740
CA
01
110090571
RAILROAD MEDICARE
CA
01
1356390009
GROUP NPI
CA
01
CE1617
GROUP RAILROAD MEDICARE
CA
01
GR0016910
GROUP MEDICAID
CA
01
W11675
GROUP MEDICARE PIN
CA
Enumeration date
06/01/2006
Last updated
03/03/2009
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