Healthcare Provider Details

I. General information

NPI: 1447285895
Provider Name (Legal Business Name): MONICA LYNN STEMMLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE PEDIATRICS DEPT
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

1300 OAK CREEK DR # 208
PALO ALTO CA
94304-2054
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5000
  • Fax:
Mailing address:
  • Phone: 650-328-7217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA80108
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: