Organization
CAROL LEWIS STOLPE, BCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE STOLPE BCO, (OWNER)
(310) 271-8801
Entity
Organization
Contact information
Practice address
435 N BEDFORD DR, SUITE 411, BEVERLY HILLS, CA 90210-4321
(310) 271-8801
(310) 271-6189
Mailing address
435 N BEDFORD DR, SUITE 411, BEVERLY HILLS, CA 90210-4321
(310) 271-8801
(310) 271-6189
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
M0096453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6105500001
PTAN
CA
Enumeration date
12/07/2010
Last updated
12/07/2010
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