Stephanie E Pongracz, PA
Physician Assistant, Surgical in Santa Monica, CA. Individual provider (NPI-1).
NPI number1508172016
StatusActive
Last updated in NPPESDec 9, 2014
Details
- NPI
- 1508172016
- Entity type
- Individual (NPI-1)
- Name
- Stephanie E Pongracz
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2010
- Last updated
- Dec 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA20968 | CA | Yes |
Other names
- Stephanie E Wright (Former Name)
Practice location
2020 Santa Monica BlvdSuite 400
Santa Monica, CA 90404-2023
Phone 310-928-2663 · Fax 310-315-2198
Mailing address
1658 Camden AveNo 105
Los Angeles, CA 90025-7548
Phone 805-403-3755
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All 14 Surgical Physician Assistant providers in Santa Monica · All 6,518 providers in Santa Monica
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