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NPI Code Detail

MEDICARE: DR. STEPHAN LEO FLASCHA R.PH. -PHARM.D.

MEDICARE: DR. STEPHAN LEO FLASCHA R.PH. -PHARM.D.
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
1183500000XPharmacist37472CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist37472CA
31835P1200XPharmacotherapy Pharmacist37472CA

General Provider Information

NPI Number : 1912087537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHAN LEO FLASCHA R.PH. -PHARM.D.
Provider Business Mailing Address
First Line : 2100 S CANFIELD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-1113
Country : US
Telephone Number : 310-202-1074
Fax Number :
Provider Business Practice Location Address
First Line : 1130 WILSHIRE BLVD
Second Line : US DEPT OF VETERANS AFFAIRS GLA HEALTHCARE SYSTEM
City : LOS ANGELES
State : CA
Zip : 90073
Country : US
Telephone Number : 310-478-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 01/07/2013

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