MEDICARE: STACY LYNN KIRIN

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	103TS0200X	School Psychologist	220042070	CA

General Provider Information

NPI Number	:	1982555405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY LYNN KIRIN

Provider Business Mailing Address
First Line	:	4921 CEDAR AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1099
Country	:	US
Telephone Number	:	626-444-9201
Fax Number	:

Provider Business Practice Location Address
First Line	:	4921 CEDAR AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1099
Country	:	US
Telephone Number	:	626-444-9201
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1598724205 — KATHRYN P WONG MS, CCC-SLP
Practice Location Address:

4546 EL CAMINO REAL , SUITE 218
LOS ALTOS, CA
94022-1099

Practice Phone: 650-245-7170
Practice Fax:

1043375777 — MS. CATHERINE JANE BURNS L. AC.
Practice Location Address:

4546 EL CAMINO REAL , SUITE B6
LOS ALTOS, CA
94022-1099

Practice Phone: 650-949-3637
Practice Fax:

1568598282 — RIALTO MEDICAL GROUP
Practice Location Address:

4546 EL CAMINO REAL , STE B-7
LOS ALTOS, CA
94022-1099

Practice Phone: 650-799-4659
Practice Fax:

1063633535 — DR. JERROLD LEE SHAPIRO PH.D.
Practice Location Address:

4546 EL CAMINO REAL , SUITE 242
LOS ALTOS, CA
94022-1099

Practice Phone: 650-941-9219
Practice Fax:

1447487962 — STEVEN A WARNER MT
Practice Location Address:

4546 EL CAMINO REAL , SUITE 270
LOS ALTOS, CA
94022-1099

Practice Phone: 650-948-1814
Practice Fax:

1013399724 — EAT 2 PERFORM INC.
Practice Location Address:

4546 EL CAMINO REAL , #254
LOS ALTOS, CA
94022-1099

Practice Phone: 650-941-2100
Practice Fax:

Directions to “ STACY LYNN KIRIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.