| Stephen M Damiani, D.o., Inc | |
|
18092 Wika Rd Ste 110 Apple Valley CA 92307-2132 | |
| (760) 946-3366 | |
| (760) 946-3866 |
| Full Name | Stephen M Damiani, D.o., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18092 Wika Rd, Apple Valley, California |
| Authorized Official Name and Position | Stephen Mario Damiani (CEO) |
| Authorized Official Contact | 7609463366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Damiani, D.o., Inc 18092 Wika Rd Ste 110 Apple Valley CA 92307-2132 Ph: (760) 946-3366 | Stephen M Damiani, D.o., Inc 18092 Wika Rd Ste 110 Apple Valley CA 92307-2132 Ph: (760) 946-3366 |
| NPI Number | 1396047361 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 11/24/2010 |
| Medicare PECOS PAC ID | 1355539743 |
|---|---|
| Medicare Enrollment ID | O20101229000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396047361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Stephen M Damiani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609820950 PECOS PAC ID: 7911944889 Enrollment ID: I20050412000934 |
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