Individual provider · Type 1 NPI

Stacey Marie Shoop, MD

Medical Physician Assistant · Santa Ana, CA

NPI number 1104222124 Active

Practice location

2621 S Bristol St, Ste 108
Santa Ana, CA 92704-5718

Call (714) 754-1684 Map

Fax (714) 966-0417

Other practice locations

  • 11263 Stonecress Ave, Fountain Valley, CA 92708-2448 · (714) 415-8216

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA52143 (CA)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1104222124

Stacey Marie Shoop, MD's National Provider Identifier is 1104222124, issued on Nov 19, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 24, 2024.