Search › California › 1041C0700X
Stacey Light
NPI 1922934983 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1612 S Canfield Ave
Los Angeles, CA 90035 - Phone
- (818) 438-2215
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-18
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