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NPI Code Detail

MEDICARE: STEPHANIE LAURENCE BUCHERT MD

MEDICARE: STEPHANIE LAURENCE BUCHERT MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianA82087CA

General Provider Information

NPI Number : 1134204027
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LAURENCE BUCHERT MD
Provider Business Mailing Address
First Line : 600 W SANTA ANA BLVD STE 600
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4552
Country : US
Telephone Number : 714-953-4455
Fax Number : 714-542-2793
Provider Business Practice Location Address
First Line : 600 W SANTA ANA BLVD STE 600
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4552
Country : US
Telephone Number : 714-953-4455
Fax Number : 714-542-2793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 10/10/2023

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Directions to “ STEPHANIE LAURENCE BUCHERT MD” Practice Location

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