Healthcare Provider Details

I. General information

NPI: 1366646986
Provider Name (Legal Business Name): HELEN STOSEL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26047 ACERO SUITE 110
MISSION VIEJO CA
92691-7950
US

IV. Provider business mailing address

26047 ACERO SUITE 110
MISSION VIEJO CA
92691-7950
US

V. Phone/Fax

Practice location:
  • Phone: 949-951-7100
  • Fax: 949-951-7110
Mailing address:
  • Phone: 949-951-7100
  • Fax: 949-951-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG68931
License Number StateCA

VIII. Authorized Official

Name: HELEN STOSEL
Title or Position: OWNER
Credential: MD
Phone: 949-951-7100