Individual
KALLIE STAHLHUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
(207) 449-0940
Mailing address
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
66033
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2024
Last updated
05/09/2025
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