Damiani, Stephen M

Damiani, Stephen M is an sole proprietor health care provider with primary practice located at 18092 Wika Rd Suite 110, Apple Valley CA 92307-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Damiani, Stephen M can be contacted via phone (760) 946-3366.

Contact Information

Primary practice address
18092 Wika Rd Suite 110 Apple Valley CA 92307-2132
Phone: (760) 946-3366
Fax: (760) 946-3866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 20A7410 California

Profile Details

NPI number 1609820950
LBN Legal business name Damiani, Stephen M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Nov 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609820950 NPPES
California MEDICAID 00AX74100

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