Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A033434 | CA |
NPI | 1275784233 |
---|---|
Provider Name | Dr. Stephen Wayne Hargett |
First Address | Los Angeles, CA 90013 |
Second Address | Los Angeles, CA 90033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 17/07/2018 |