Individual
BRANDON STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38600 MEDICAL CENTER DR, PALMDALE, CA 93551-4483
(661) 382-5000
Mailing address
19197 GOLDEN VALLEY RD # 304, SANTA CLARITA, CA 91387-1428
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1548795172
CA
Other
Enumeration date
04/20/2017
Last updated
07/08/2021
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