Healthcare Provider Details

I. General information

NPI: 1760310064
Provider Name (Legal Business Name): MARIA PAULINA STANLEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAULINA STANLEY DO

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E 2ND ST
POMONA CA
91766-1854
US

IV. Provider business mailing address

1364 PALISADES BEACH RD
SANTA MONICA CA
90401-1016
US

V. Phone/Fax

Practice location:
  • Phone: 909-623-6116
  • Fax:
Mailing address:
  • Phone: 310-972-8449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: