Healthcare Provider Details

I. General information

NPI: 1447907514
Provider Name (Legal Business Name): BATYA STAHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 2ND ST
PARAMOUNT CA
90723-3404
US

IV. Provider business mailing address

8010 2ND ST
PARAMOUNT CA
90723-3404
US

V. Phone/Fax

Practice location:
  • Phone: 949-396-1940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number62311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: