Individual provider · Type 1 NPI

Gordana Stevanovic, MD

Specialist · San Diego, CA

NPI number 1083611602 Active

Practice location

13112 Evening Creek Dr S
San Diego, CA 92128-4108

Fax (310) 698-7054

Mailing address

2374 E Pacifica Pl
Rancho Dominguez, CA 90220-6214

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA48595 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083611602

Gordana Stevanovic, MD's National Provider Identifier is 1083611602, issued on Jun 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Jan 29, 2016.