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NPI Code Detail

MEDICARE: MR. JAMES STEPHAN PLUTA

MEDICARE: MR. JAMES STEPHAN PLUTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCA

General Provider Information

NPI Number : 1184573016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES STEPHAN PLUTA
Provider Business Mailing Address
First Line : 12247 1/2 MAGNOLIA BLVD
Second Line :
City : VALLEY VILLAGE
State : CA
Zip : 91607-2622
Country : US
Telephone Number : 818-996-1051
Fax Number :
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ MR. JAMES STEPHAN PLUTA ” Practice Location

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