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NPI Code Detail

MEDICARE: DR. FRANK J. STELLA M.D.

MEDICARE:  DR. FRANK J. STELLA  M.D.
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
1207RN0300XNephrology PhysicianG19078CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225033764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK J. STELLA M.D.
Provider Business Mailing Address
First Line : 9610 GRANITE RIDGE DR
Second Line : STE B
City : SAN DIEGO
State : CA
Zip : 92123-2684
Country : US
Telephone Number : 858-499-1900
Fax Number : 858-268-1911
Provider Business Practice Location Address
First Line : 8851 CENTER DR
Second Line : STE 505
City : LA MESA
State : CA
Zip : 91942-3017
Country : US
Telephone Number : 619-461-3880
Fax Number : 619-461-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 05/24/2012

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Directions to “ DR. FRANK J. STELLA M.D.” Practice Location

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