Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710483664

Stephanie DO is a Student in an Organized Health Care Education/Training Program in Pasadena, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

255 S Rosemead Blvd
Pasadena, CA 91107-4934
Phone: (626) 639-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 839 W Congress St, Tucson, AZ 85745-2819 — (520) 327-1823

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104214 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710483664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2018
Last updated in NPPESAugust 8, 2020
Certification dateAugust 8, 2020
Mailing address1311 Vandyke Rd, San Marino, CA 91108-2746

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