Organization
STEPHENS MEDICAL CORPORATION
Active
Other names
Altitude Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN STEPHENS MD (OWNER/PRESIDENT)
(424) 339-9859
Entity
Organization
Contact information
Practice address
320 PINE AVE STE 1030, LONG BEACH, CA 90802-2366
(310) 284-2274
Mailing address
21213 HAWTHORNE BLVD STE B, #1101, TORRANCE, CA 90503
(310) 284-2274
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/14/2023
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