Individual
DR. STEPHEN PHILIP VAMPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 1ST ST STE 360, SIMI VALLEY, CA 93065
(805) 583-7640
(805) 583-7641
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A 122879
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A122879
CA
Other
Enumeration date
05/23/2012
Last updated
10/07/2019
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