SearchCalifornia2085R0202X

Stephanie Channual

NPI 1770875569 · on the registry since 2011

Practice

Address
757 Westwood Plz # 1633lo
Los Angeles, CA 90095
Phone
(949) 230-5118

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-30

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