Healthcare Provider Details

I. General information

NPI: 1841557980
Provider Name (Legal Business Name): EMILY SARA STIEREN M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 02/21/2022
Certification Date: 07/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2516 STOCKTON BLVD STE 252
SACRAMENTO CA
95817-2208
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-3050
  • Fax: 916-703-3055
Mailing address:
  • Phone: 916-734-0297
  • Fax: 916-703-5061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA129204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: