Organization
STANFORD HOSPITAL AND CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA PASQUINELLI (PROVIDER ENROLLMENT COORDINATOR)
(650) 498-5710
Entity
Organization
Contact information
Practice address
900 BLAKE WILBUR DR RM W0001, PALO ALTO, CA 94304-2201
(650) 723-9631
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G013460
CA
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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