Individual provider · Type 1 NPI

Stephanie Hadimulia

Physician Assistant · Fontana, CA

NPI number 1619703477 Active

Practice location

16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242

Call (909) 823-8000 Map

Fax (909) 823-8088

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA68068 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619703477

Stephanie Hadimulia's National Provider Identifier is 1619703477, issued on Sep 10, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fontana, CA. The record was last updated on May 5, 2026.