Organization
ROBERT A. DE STEFANO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ACHILLE DE STEFANO M.D. (OWNER-CEO)
(818) 222-7495
Entity
Organization
Contact information
Practice address
23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
(818) 222-7495
(818) 222-7498
Mailing address
23501 PARK SORRENTO, SUITE 216, CALABASAS, CA 91302-1308
(818) 222-7495
(818) 222-7498
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A21674
CA
261QM2500X
Medical Specialty Clinic/Center
G58593
CA
Other
Enumeration date
03/12/2007
Last updated
10/07/2010
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