STEPHANIE PRUDENCIO DO NPI 1699235200

NPI Information

Stephanie Prudencio, DO is a pediatrics in Los Angeles, CA. The provider is a pediatrician 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. Stephanie Prudencio, DO NPI is 1699235200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4650 W SUNSET BLVD # 94
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-5115

The enumeration date for this NPI number is 3/20/2019 and was last updated on 6/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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