Individual
SCOTT A STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24331 EL TORO RD, SUITE 200, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
(949) 900-2136
Mailing address
26401 CROWN VALLEY PKWY, STE 101, MISSION VIEJO, CA 92691-6302
(949) 586-3200
(949) 900-2136
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20679
CA
Other
Enumeration date
01/27/2010
Last updated
09/28/2018
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