Individual
SIDNEY MORRIS STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5901 W OLYMPIC BLVD STE 105, LOS ANGELES, CA 90036-4680
(323) 489-6010
(833) 402-0866
Mailing address
541 W COLORADO ST STE 205, GLENDALE, CA 91204-3640
(323) 254-0046
(323) 488-9782
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20A16313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A16313
MEDICAL
CA
Enumeration date
04/23/2012
Last updated
09/24/2021
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