Provider Demographics
NPI:1982047163
Name:PIRROTTA, STEFANIA ANTONELLA (DO)
Entity Type:Individual
Prefix:DR
First Name:STEFANIA
Middle Name:ANTONELLA
Last Name:PIRROTTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2020 ZONAL AVE STE 1RD723
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0121
Mailing Address - Country:US
Mailing Address - Phone:303-409-7105
Mailing Address - Fax:303-226-2738
Practice Address - Street 1:2020 ZONAL AVE STE IRD723
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089
Practice Address - Country:US
Practice Address - Phone:323-409-7105
Practice Address - Fax:323-226-2738
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A15652207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine