Stacy Medical Center

NPI #1861830648 in Vernon, California

Provider Information

NPI Number: 1861830648
Entity Type: Organization
Organization Name: Stacy Medical Center
Primary Specialty: General Practice
Enumeration Date: Jun 13, 2013
Last Updated: Jun 13, 2013

Practice Location

Address: 4580 PACIFIC BLVD
City: Vernon
State: California
ZIP Code: 90058-2208
Phone: (323) 584-0779

Authorized Official

Name: DR. STEVEN HARLAN FLORMAN, M.D.
Title: MEDICAL DIRECTOR
Phone: (323) 584-0779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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