Healthcare Provider Details

I. General information

NPI: 1649108184
Provider Name (Legal Business Name): PAUL ZACHARY STUMPE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10990 WARNER AVE
FOUNTAIN VALLEY CA
92708-3849
US

IV. Provider business mailing address

2237 S CALDWELL AVE
ONTARIO CA
91761-5806
US

V. Phone/Fax

Practice location:
  • Phone: 714-962-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: