Wyckoff, Stephanie
Wyckoff, Stephanie is an individual health care provider with primary practice located at 18035 Brookhurst Street Suite 2100, Fountain Valley CA 92708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Wyckoff, Stephanie can be contacted via phone (657) 241-9090.Contact Information
Primary practice address
18035 Brookhurst Street Suite 2100
Fountain Valley CA 92708
Phone: (657) 241-9090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A69149 | California |
Profile Details
| NPI number | 1679659080 |
|---|---|
| LBN Legal business name | Wyckoff, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Oct 14th, 2016 - about 8 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 | 1679659080 | NPPES |
| California | MEDICAID | 00A691490 |
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