Stanley, Philip
Stanley, Philip is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 81, Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Stanley, Philip can be contacted via phone (323) 669-2411.Contact Information
Primary practice address
4650 W Sunset Blvd Ms# 81
Los Angeles CA 90027-6062
Phone: (323) 669-2411
Fax: (323) 666-4655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | A26730 | California |
Profile Details
| NPI number | 1174619910 |
|---|---|
| LBN Legal business name | Stanley, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Mar 5th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174619910 | NPPES |
| California | Other | 00A267300 F85 | CAL OPTIMA |
| California | MEDICAID | 00A267300 | CAL OPTIMA |
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