Search › California › 164X00000X
Stephanie Burroughs
NPI 1871073569 · on the registry since 2018 · sole proprietor
Practice
- Address
- 905 Pico Blvd
Santa Monica, CA 90405 - Phone
- (310) 314-6200
- Fax
- (310) 450-2024
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-21
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