Individual
DANIEL PATRICK STEFANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-5004
(310) 267-2680
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A166279
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT HEALTH CARE
CA
Enumeration date
04/18/2018
Last updated
07/26/2022
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