Stephen De Vita, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Stephen De Vita |
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Gender | Male |
Speciality | Family Medicine |
Location | 13652 Cantara St, Panorama City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306905922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A71103 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Stephen De Vita, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Stephen De Vita, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Angeline Li Ping Ong Su, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Samuel L. Lim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Dr. Tracy S Yee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St Bldg 6, Panorama City, CA 91402 Phone: 833-574-2273 | |
Yuriy Verpukhovskiy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14860 Roscoe Blvd, Ste.306, Panorama City, CA 91402 Phone: 818-904-9200 Fax: 818-904-9300 | |
Steven G. Steinberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Sandra Welgreen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Steven A. Lawenda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |