Provider Demographics
NPI:1598141566
Name:STANFORD HEALTHCARE
Entity Type:Organization
Organization Name:STANFORD HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-723-5948
Mailing Address - Street 1:247 ARRIBA DR
Mailing Address - Street 2:APT 2
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6976
Mailing Address - Country:US
Mailing Address - Phone:650-285-8340
Mailing Address - Fax:
Practice Address - Street 1:777 WELCH RD
Practice Address - Street 2:SUITE DE
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1613
Practice Address - Country:US
Practice Address - Phone:650-723-6661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital