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General NPI Number Information
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NPI Number | 1265345318
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Entity Type | Organization
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Legal Business Name | STORK INDUSTRIES, PC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 310-629-2447
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Fax | 310-306-5555
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Provider Business Mailing Address
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Address Line | 2629 MANHATTAN AVE # 283
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-2411
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Country | US
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Telephone | 310-629-2447
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Fax | 310-306-5555
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Authorized Official
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Title or Position | DO
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Name | DR. JAMIE ALAN LIPELES
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Credential |
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Telephone | 310-629-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | NULL
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