Individual
PHILIP STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS# 81, LOS ANGELES, CA 90027-6062
(323) 669-2411
(323) 666-4655
Mailing address
6430 SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7900
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A26730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A267300
—
CA
01
—
00A267300 F85
CAL OPTIMA
CA
Enumeration date
10/05/2006
Last updated
03/05/2012
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