Healthcare Provider Details

I. General information

NPI: 1962127944
Provider Name (Legal Business Name): DEVIN RYAN STONE N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 CAMINO DEL MAR
DEL MAR CA
92014-2551
US

IV. Provider business mailing address

1412 CAMINO DEL MAR
DEL MAR CA
92014-2551
US

V. Phone/Fax

Practice location:
  • Phone: 626-818-4566
  • Fax:
Mailing address:
  • Phone: 626-818-4566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1375
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: