Search › California › 207T00000X
Stacey Podkovik, D.O
NPI 1215463914 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4650 W Sunset Blvd
Los Angeles, CA 90027 - Phone
- (323) 660-2450
- Organisation at this address
- Chlamg-Pathology Lp
Chla Usc-Ucedd Nutrition
Altamed Health Services Corp.
Children'S Hospital Los Angeles
Children'S Hospital Los AngelesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,302
Additional practice sites
- 26520 Cactus Ave, Moreno Valley, CA
- 3100 Sw 62nd Ave, Miami, FL
- 100 W Gore St Ste 403, Orlando, FL
- 9300 Valley Childrens Pl, Madera, CA
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- FL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California