Organization
STEVENSON ORTHOPAEDIC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD V STEVENSON M.D. (PRESIDENT)
(310) 674-1211
Entity
Organization
Contact information
Practice address
575 E HARDY ST, SUITE 105, INGLEWOOD, CA 90301-4040
(310) 674-1211
(310) 674-8668
Mailing address
575 E HARDY ST, SUITE 105, INGLEWOOD, CA 90301-4040
(310) 674-1211
(310) 674-8668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G48296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482960
—
CA
Enumeration date
10/03/2006
Last updated
04/05/2012
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