Individual
DONALD V STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 E. HARDY ST, SUITE 105, INGLEWOOD, CA 90301-4040
(310) 674-1211
(310) 674-8668
Mailing address
575 E. HARDY ST, SUITE 105, INGLEWOOD, CA 90301-4040
(310) 674-1211
(310) 674-8668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G48296
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G48296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482960
—
CA
Enumeration date
08/09/2005
Last updated
02/12/2010
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