Organization
STANLEY L. STOCK, M. D., INC.
Active
Other names
Stanley L. Stock, M. D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY LOUIS STOCK M. D. (PRESIDENT)
(310) 833-5221
Entity
Organization
Contact information
Practice address
1428 W 7TH ST STE B, SAN PEDRO, CA 90732-3523
(310) 833-5221
(310) 833-4022
Mailing address
1428 W 7TH ST STE B, SAN PEDRO, CA 90732-3523
(310) 833-5221
(310) 833-4022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A19519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700896909
SOLE OWNER NPI
—
01
—
A19510
CLIA 05D0553631
—
Enumeration date
04/09/2010
Last updated
04/09/2010
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