Stephanie Prudencio
DO | Pediatrics | Female
Stephanie Prudencio, DO is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephanie Prudencio is
4650 W Sunset Blvd # 94, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-361-5115.
Stephanie Prudencio is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie Prudencio is
1699235200 which was assigned by NPPES on 20 Mar, 2019 and it was last updated on 13 Jun, 2022.
Stephanie Prudencio license number is
OS18629 for Pediatrics (208000000X) in Florida.
Stephanie Prudencio is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephanie Prudencio basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stephanie Prudencio |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Stephanie Prudencio address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4650 W Sunset Blvd # 94
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-5115 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699235200 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2019 |
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| Last Updated On : | 13 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Prudencio are as mentioned. Primary taxonomy code for Stephanie Prudencio, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | UO6695 | FL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | UO6695 | FL |
| 208000000X | Pediatrics | Yes | OS18629 | FL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4650 W Sunset Blvd # 94
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-5115 |
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Business Location:
Patients can refer following map for directions to
Stephanie Prudencio practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.