Individual
STACEY C CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1260 15TH ST, SUITE 1200, SANTA MONICA, CA 90404-1135
(310) 451-8751
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 451-8751
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A116794
CA
Other
Enumeration date
01/15/2012
Last updated
12/01/2021
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