Individual
MALLORY ANNE STUPARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4772 KATELLA AVE STE 200, LOS ALAMITOS, CA 90720-2683
(516) 584-8710
Mailing address
4772 KATELLA AVE STE 200, LOS ALAMITOS, CA 90720-2683
(516) 584-8710
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A148097
CA
Other
Enumeration date
04/07/2011
Last updated
07/25/2025
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