Individual
DR. FREDERICK M STAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
12011 SAN VICENTE BLVD, SUITE 250, LOS ANGELES, CA 90049-4926
(310) 472-3622
Mailing address
12011 SAN VICENTE BLVD, SUITE 250, LOS ANGELES, CA 90049-4926
(310) 472-3622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PL80850
BLUE SHIELD OF CALIFORNIA
CA
01
—
149016
VALUE OPTIONS
CA
Enumeration date
05/11/2007
Last updated
07/08/2007
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