John H Stasiewicz MD

NPI 1033100482 - Family Medicine - 207Q00000X

NPI Details
NPI 1033100482
Gender Male
Enumeration Date 11/03/2005
Last Updated 10/13/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4050 BARRANCA PKWY
SUITE 200
IRVINE CA, 92604-7706, US
Phone (949) 551-1090
Fax (949) 262-5500
Business Location
17360 BROOKHURST ST
ATTN: MCMF CREDENTIALING DEPT.
FOUNTAIN VALLEY CA, 92708-3720, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G21256
Remove 1033100482 NPI Number
 

According to our database, Dr. John H Stasiewicz MD NPI is 1033100482, taxonomy code is 207Q00000X and license number is G21256, license state is located at California. John H Stasiewicz MD physically located at 4050 Barranca Pkwy, Irvine CA, 92604-7706. NPI Number John H Stasiewicz MD has the Individual type.

Sponsored links

1033100482 NPI number is provided on an as is basis without warranty of any kind. 1033100482 is maintained by the National Plan & Provider Enumeration System. The contents of John H Stasiewicz MD are for informational purposes only.