Organization · Type 2 NPI
Stacy Medical Center
General Practice Physician · Vernon, CA
NPI number
1861830648
Active
Practice location
4580 Pacific Blvd
Vernon, CA 90058-2208
Fax (323) 584-2282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Vernon
About NPI 1861830648
Stacy Medical Center's National Provider Identifier is 1861830648, issued on Jun 13, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Vernon, CA. The record was last updated on Jun 13, 2013.