Organization
DRS JOHN W & TERRI F STIBEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI F STIBEL OD (OWNER)
(310) 315-9122
Entity
Organization
Contact information
Practice address
2730 WILSHIRE BLVD STE 545, SANTA MONICA, CA 90403-4745
(310) 315-9122
(310) 315-9122
Mailing address
2730 WILSHIRE BLVD STE 545, SANTA MONICA, CA 90403-4745
(310) 315-9122
(310) 315-9122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7457T
CA
Other
Enumeration date
06/11/2008
Last updated
11/10/2008
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