Individual provider · Type 1 NPI
Dejon Stephens
Prosthetic/Orthotic Supplier · Los Angeles, CA
Practice location
824 E 87th St
Los Angeles, CA 90002-1019
Mailing address
14420 Elsworth St Ste 102
Moreno Valley, CA 92553-9027
Other practice locations
- 14420 Elsworth St Ste 102, Moreno Valley, CA 92553-9027 · (323) 547-3819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | KK554811 (CA) |
Prosthetic/Orthotic Supplier: 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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About NPI 1588315972
Dejon Stephens's National Provider Identifier is 1588315972, issued on Jan 17, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 17, 2022.