MEDICARE: HANNAH RENEE STONE PA-C

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	363A00000X	Physician Assistant	55090	CA

General Provider Information

NPI Number	:	1467968966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RENEE STONE PA-C

Provider Business Mailing Address
First Line	:	1328 BRINKLEY AVENUE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049
Country	:	US
Telephone Number	:	310-591-0622
Fax Number	:

Provider Business Practice Location Address
First Line	:	8631 W 3RD ST STE 830E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5804
Country	:	US
Telephone Number	:	310-967-5650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2017
Last Update Date	:	12/19/2017

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Directions to “ HANNAH RENEE STONE PA-C” Practice Location

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