STACY MEDICAL CENTER is a general practice in Vernon, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee STACY MEDICAL CENTER NPI is 1861830648. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4580 PACIFIC BLVD
VERNON, CA
ZIP 90058-208
Phone: (323) 584-0779
Fax: (323) 584-2282
The provider's authorized official is Steven Harlan Florman .
The authorized official title is Medical Director and has the following contact phone number (323) 584-0779.
The CLIA number assigned to this NPI record is 05D2210233 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/13/2013 and was last updated on 6/13/2013.