STEPHANIE E PONGRACZ

SANTA MONICA, CA
NPI1508172016
Former NameSTEPHANIE E WRIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA20968)
Enumeration Date2010-08-20
Last Update Date2014-12-09
Business Address
-- STEPHANIE E PONGRACZ PA
2020 SANTA MONICA BLVD SUITE 400
SANTA MONICA, CA 90404-2023
Phone number: 310-928-2663
Mailing Address
-- STEPHANIE E PONGRACZ PA
1658 CAMDEN AVE NO 105
LOS ANGELES, CA 90025-7548
Phone number: 805-403-3755