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NPI Code Detail

MEDICARE: GIOVANNI NEVILLE STEWART BA

MEDICARE: GIOVANNI NEVILLE STEWART BA
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1649037037
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIOVANNI NEVILLE STEWART BA
Provider Business Mailing Address
First Line : 1811 W 41ST DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90062-1517
Country : US
Telephone Number : 323-348-4615
Fax Number :
Provider Business Practice Location Address
First Line : 1811 W 41ST DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90062-1517
Country : US
Telephone Number : 323-348-4615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2024
Last Update Date : 03/01/2024

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Directions to “ GIOVANNI NEVILLE STEWART BA” Practice Location

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