James, Stacey G

James, Stacey G is an individual health care provider with primary practice located at 24902 Moulton Pkwy Suite 200, Laguna Hills CA 92637-6410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. James, Stacey G can be contacted via phone (949) 462-0560.

Contact Information

Primary practice address
24902 Moulton Pkwy Suite 200 Laguna Hills CA 92637-6410
Phone: (949) 462-0560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18059 California

Profile Details

NPI number 1922089234
LBN Legal business name James, Stacey G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922089234 NPPES
California Other W15225 MEDICARE PTAN #
California Other 1982635322 MEDICARE PTAN #

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