Individual
STEPHANIE N MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11911 SAN VICENTE BLVD STE 265, LOS ANGELES, CA 90049-6634
(949) 463-1990
Mailing address
520 MARGUERITE AVE, CORONA DEL MAR, CA 92625-2335
(949) 463-1990
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G46111
CA
Other
Enumeration date
05/10/2006
Last updated
02/27/2025
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