Individual
DR. STEPHEN JACOB PANDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-4578
Mailing address
11693 SAN VINCENTE BLVD #153, LOS ANGELES, CA 90049
(310) 478-3711
(310) 268-4578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G033954
CA
207RG0100X
Gastroenterology Physician
Primary
G033954
CA
Other
Enumeration date
09/20/2006
Last updated
08/16/2012
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