Individual
STEPHEN STYADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1760 E FLORA ST, ONTARIO, CA 91764-4458
(909) 641-5703
(760) 949-1236
Mailing address
1760 E FLORA ST, ONTARIO, CA 91764-4458
(909) 641-5703
(760) 949-1236
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21209
CA
Other
Enumeration date
09/27/2010
Last updated
10/24/2021
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