Individual
MAXINE WALLIS STACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8670 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211-2930
(310) 248-8300
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
A177876
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A177876
CA
Other
Enumeration date
05/21/2016
Last updated
08/08/2023
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