Individual ProviderMilica StefanovicPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4448 Ambrose Ave, Los Angeles, CA 90027-2115(323) 644-1998PECOS EnrollmentBased on the most recent information from CMS, provider Milica Stefanovic is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1912936824Provider TypeIndividualFull NameStefanovic, MilicaTitleDr.CredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date7/2/2006Last Updated4/29/2025Contact InformationPractice LocationPractice Address4448 Ambrose Ave, Los Angeles, CA 90027-2115Phone(323) 644-1998Fax(323) 644-2600Mailing LocationMailing Address4448 Ambrose Ave, Los Angeles, CA 90027-2115Phone(323) 644-1998Fax(323) 644-2600Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA91413CaliforniaCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense216200NYNew YorkCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense216200New YorkProvider IdentifiersIDDescriptionIssuerID12130DescriptionOtherIssuerRI LICENSE NUMBERRhode IslandID02080642DescriptionMedicaidIssuerUnlistedNew YorkID2936824DescriptionMedicaidIssuerUnlistedRhode Island