Individual
AMY MARIE STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 16TH ST, 202, SANTA MONICA, CA 90404-1235
(310) 301-8707
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A104095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1040950
—
CA
Enumeration date
10/15/2008
Last updated
02/13/2015
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