Individual provider · Type 1 NPI

Danielle Stark, PA

Medical Physician Assistant · Newport Beach, CA

NPI number 1851815104 Active

Practice location

500 Superior Ave Ste 335
Newport Beach, CA 92663-3657

Call (949) 706-1469 Map

Mailing address

415 Townsquare Ln Apt 127
Huntington Beach, CA 92648-4695

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X53436 (CA)
Medical Physician Assistant Primary 363AM0700X53436 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1851815104

Danielle Stark, PA's National Provider Identifier is 1851815104, issued on Jul 28, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 28, 2017.