Stockford, Lisa C

Stockford, Lisa C is an individual health care provider with primary practice located at 5253 Riverside Dr , Chino CA 91710-4151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stockford, Lisa C can be contacted via phone (909) 464-2845.

Contact Information

Primary practice address
5253 Riverside Dr Chino CA 91710-4151
Phone: (909) 464-2845
Fax: (909) 464-2848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A79250 California

Profile Details

NPI number 1710986328
LBN Legal business name Stockford, Lisa C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1710986328 NPPES
California Other 020A79250 BLUE SHIELD
California MEDICAID 00AX79250 BLUE SHIELD
California Other P00092811 BLUE SHIELD

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