Dr. STACEY EDWIN PODKOVIK D.O.
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1215463914- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 4650 W SUNSET BLVD, LOS ANGELES, CA, 900276062
- Phone
- (323) 660-2450
Specialties & Taxonomies
Neurological Surgery
License: FL #OS20696
Neurological Surgery
Primary License: CA #20A16756