Individual
KAYLA ORTEGO SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PASTEUR DR, ALWAY BLDG., ROOM M121, STANFORD, CA 94305-2200
(650) 725-9445
(650) 723-0121
Mailing address
25 RIO ROBLES E, #218, SAN JOSE, CA 95134-1631
(337) 654-6053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
303372
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2013
Last updated
08/18/2016
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