Individual
DEBRA STOTTLEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, LOMA LINDA, CA 92354-3450
(909) 558-2870
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G60670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G606700
—
CA
Enumeration date
07/24/2006
Last updated
07/05/2016
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