Healthcare Provider Details

I. General information

NPI: 1376546127
Provider Name (Legal Business Name): STUART NEIL WINKLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 SKYPARK DR
TORRANCE CA
90505-5004
US

IV. Provider business mailing address

3291 SKYPARK DR
TORRANCE CA
90505-5004
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-4517
  • Fax: 310-325-1144
Mailing address:
  • Phone: 310-325-4517
  • Fax: 310-325-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG28385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: