Search › California › 183500000X
Travis Stark
NPI 1639618093 · on the registry since 2017
Practice
- Address
- 5224 Coldwater Canyon Ave
Van Nuys, CA 91401 - Phone
- (818) 487-2715
- Fax
- (818) 487-7364
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-17
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