MEDICARE: STANLEY J. MAJCHER, MD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1063643260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STANLEY J. MAJCHER, MD, INC.

Provider Business Mailing Address
First Line	:	2980 N BEVERLY GLEN CIR
Second Line	:	STE 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-1726
Country	:	US
Telephone Number	:	310-474-9809
Fax Number	:	888-652-3017

Provider Business Practice Location Address
First Line	:	1028 E WALNUT CREEK PKWY
Second Line	:	SUITE C
City	:	WEST COVINA
State	:	CA
Zip	:	91790-3072
Country	:	US
Telephone Number	:	626-919-5888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STANLEY J MAJCHER
Credential	:	MD
Telephone Number	:	626-919-5888

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	10/19/2015

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