Provider Demographics
NPI:1750457743
Name:STEPANSKY, NATALYA N (PA)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:N
Last Name:STEPANSKY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 YOLANDA AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6847
Mailing Address - Country:US
Mailing Address - Phone:818-321-3411
Mailing Address - Fax:
Practice Address - Street 1:7531 SANTA MONICA BLVD
Practice Address - Street 2:SUITE #100
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6401
Practice Address - Country:US
Practice Address - Phone:323-654-7716
Practice Address - Fax:323-654-7771
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 18594207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0097000OtherGROUP NUMBER
CAGR0097001OtherGROUP NUMBER