Individual
STEPHANIE MIDTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9850 GENESEE AVE STE 310, LA JOLLA, CA 92037-1208
(800) 898-2020
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A187633
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
A187633
CA
Other
Enumeration date
04/05/2019
Last updated
04/11/2024
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