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General NPI Number Information
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NPI Number | 1114077526
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Entity Type | Organization
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Legal Business Name | STANFORD HOSPITAL AND CLINICS
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR RM. A160
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-723-6961
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Fax | 650-725-8418
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Provider Business Mailing Address
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Address Line | 750 WELCH RD SUITE 210
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City | PALO ALTO
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State | CA
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Zip | 94304-1507
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Country | US
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Telephone | 650-498-5691
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Fax | 650-498-5692
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Authorized Official
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Title or Position | CEO
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Name | MS. MARTHA MARSH
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Credential |
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Telephone | 650-723-5708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G079013
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License Number State | CA
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