NPI 1588315972

Dejon Stephens

Practitioner Prosthetic/Orthotic Supplier Los Angeles, CA

Practice location

Address: 824 E 87th St, Los Angeles, CA 90002-1019
Phone: (323) 547-3819
Mailing address: 14420 Elsworth St STE 102, Moreno Valley, CA 92553-9027

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence KK554811 (CA)

Other Prosthetic/Orthotic Supplier providers in California →

Registry record

NPI: 1588315972
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2022
Record last updated: 17 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.