MEDICARE: NORA L. STEPHANY PA

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
1	363A00000X	Physician Assistant	PA18177	CA
2	363AS0400X	Surgical Physician Assistant	PA18177	CA

General Provider Information

NPI Number	:	1437208394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA L. STEPHANY PA

Provider Business Mailing Address
First Line	:	FILE 57326
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-7326
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:

Provider Business Practice Location Address
First Line	:	4520 EXECUTIVE DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3018
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	06/10/2026

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Directions to “ NORA L. STEPHANY PA” Practice Location

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