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Individual

STEPHEN MOHAUPT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11401 BLOOMFIELD AVE, NORWALK, CA 90650
(310) 251-9326
(310) 693-2616
Mailing address
1601 N SEPULVEDA BLVD # 265, MANHATTAN BEACH, CA 90266-5111
(310) 251-9326
(106) 932-6163

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
A51161
CA

Other

Enumeration date
10/11/2006
Last updated
03/15/2024
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