Organization
STEWART ELVIS RENDON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART ELVIS RENDON M.D. (CEO)
(646) 554-4491
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
(714) 549-5990
(714) 845-0041
Mailing address
11100 WARNER AVE, SUITE 258, FOUNTAIN VALLEY, CA 92708-7506
(714) 549-5990
(714) 845-0041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A78664
CA
Other
Enumeration date
05/28/2015
Last updated
08/10/2015
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