Provider Demographics
NPI:1073878229
Name:SCARAMANGAS-PLUMLEY, DAPHNE (MD)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:
Last Name:SCARAMANGAS-PLUMLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 WILSHIRE BLVD STE 350
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2700
Mailing Address - Country:US
Mailing Address - Phone:310-652-6003
Mailing Address - Fax:310-652-6056
Practice Address - Street 1:8750 WILSHIRE BLVD STE 350
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2700
Practice Address - Country:US
Practice Address - Phone:310-652-6003
Practice Address - Fax:310-652-6003
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135975207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology