MEDICARE: STEPHENSON, ACQUISTO AND COLMAN

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	171W00000X	Contractor	ATTORNEY 113755	CA

General Provider Information

NPI Number	:	1710175203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHENSON, ACQUISTO AND COLMAN

Provider Business Mailing Address
First Line	:	303 N GLENOAKS BLVD STE 700
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-3226
Country	:	US
Telephone Number	:	818-559-4477
Fax Number	:	818-559-5484

Provider Business Practice Location Address
First Line	:	303 N GLENOAKS BLVD STE 700
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-3226
Country	:	US
Telephone Number	:	818-559-4477
Fax Number	:	818-559-5484

Authorized Official
Title or Position	:	HR DIRECTOR
Name	:	MS. SHERRI BUDRY
Credential	:
Telephone Number	:	818-559-4477

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	10/09/2007

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