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NPI Code Detail

MEDICARE: STEPHEN MICHAEL SCAPPA MD

MEDICARE: STEPHEN MICHAEL SCAPPA MD
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
12084P0800XPsychiatry PhysicianG47308CA

General Provider Information

NPI Number : 1710079553
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MICHAEL SCAPPA MD
Provider Business Mailing Address
First Line : 827 GALLOWAY STREET
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-3848
Country : US
Telephone Number : 310-573-1269
Fax Number : 310-573-1500
Provider Business Practice Location Address
First Line : 9730 WILSHIRE BLVD
Second Line : SUITE 213
City : BEVERLY HILLS
State : CA
Zip : 90212-2022
Country : US
Telephone Number : 310-273-2598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHEN MICHAEL SCAPPA MD” Practice Location

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