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Katelyn Dow Stepanyan

Internal Medicine

Allopathic & Osteopathic Physicians

1250 16th St # C2304, Santa Monica, CA 90404

PECOS Enrollment

This provider is enrolled in PECOS as KATELYN STEPANYAN.

Based on the most recent information from CMS, provider Katelyn Dow Stepanyan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1316332349
Provider Type
Individual
Full Name
Stepanyan, Katelyn Dow
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2015
Last Updated
11/15/2019

Contact Information

Practice Location

1250 16th St # C2304, Santa Monica, CA 90404

(310) 319-4698

(310) 319-4908

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A144960 California
Code 207QG0300X	Description Family Medicine Allopathic & Osteopathic Physicians	License A144960 California
Code 207RH0002X	Description Internal Medicine Allopathic & Osteopathic Physicians	License A144960 California

Katelyn Dow Stepanyan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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