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Organization

STUART SOSTRIN, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STUART V SOSTRIN MD (PRESIDENT)
(310) 772-4900
Entity
Organization

Contact information

Practice address
2070 CENTURY PARK E, LOS ANGELES, CA 90067-1907
(310) 772-4900
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G239640
BLUE SHIELD GROUP ID
CA
Enumeration date
03/24/2006
Last updated
06/24/2008
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