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Dejon Stephens
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1588315972

Dejon Stephens is a Prosthetic/Orthotic Supplier based in Moreno Valley, CA. Dejon Stephens practices in Los Angeles, CA. The NPI Number for Dejon Stephens is 1588315972 and holds a License No. KK554811 (California).

The current practice location address for Dejon Stephens is 824 E 87Th St, Los Angeles, CA and can be reached out via phone at 323-547-3819.

Location: 824 E 87Th St, Los Angeles, CA, 92553-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588315972
Provider Name
Dejon Stephens
Credential
Provider Entity Type
Individual
Gender
Male
Address
824 E 87Th St, Los Angeles, CA, 92553-9027
Phone Number
323-547-3819
Fax Number
Provider Enumeration Date
01/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
824 E 87Th St
City
Los Angeles
State
California
Zip
90002-1019
Phone Number
323-547-3819
Fax Number
person
Provider Business Mailing Address Details
Address
824 E 87Th St
City
Los Angeles
State
California
Zip
90002-1019
Phone Number
323-547-3819
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
KK554811 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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