Provider Demographics
NPI:1760850317
Name:HENRIETTA STANCZ-SZEDER MD INC
Entity Type:Organization
Organization Name:HENRIETTA STANCZ-SZEDER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANZ-SZEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-432-6640
Mailing Address - Street 1:421 N RODEO DR
Mailing Address - Street 2:PENTHOUSE 1
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4500
Mailing Address - Country:US
Mailing Address - Phone:310-432-6640
Mailing Address - Fax:
Practice Address - Street 1:421 N RODEO DR
Practice Address - Street 2:PENTHOUSE 1
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4500
Practice Address - Country:US
Practice Address - Phone:310-432-6640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116940207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty