Individual
STEPHANIE SMOOKE PRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 530, LOS ANGELES, CA 90095-0001
(310) 825-7922
(310) 267-1899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90748
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A90748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A907480
MEDI-CAL PPIN #
CA
Enumeration date
05/17/2006
Last updated
11/06/2025
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