Provider Demographics
NPI:1659598803
Name:STONE, JOANNA LYNN (MD)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:LYNN
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9808 VENICE BLVD
Mailing Address - Street 2:#603
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2732
Mailing Address - Country:US
Mailing Address - Phone:310-845-9311
Mailing Address - Fax:310-845-9523
Practice Address - Street 1:9808 VENICE BLVD
Practice Address - Street 2:#603
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2732
Practice Address - Country:US
Practice Address - Phone:310-845-9311
Practice Address - Fax:310-845-9523
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78757207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology