Individual
DR. ATOSSA AUDREY STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2647 GATEWAY RD STE 105-385, CARLSBAD, CA 92009-1755
(760) 931-7864
Mailing address
2647 GATEWAY RD STE 105-385, CARLSBAD, CA 92009-1755
(760) 931-7864
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A89617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578851
—
CA
Enumeration date
02/06/2008
Last updated
11/18/2021
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