Provider Demographics
NPI:1790990117
Name:PAPPELBAUM, STANLEY (MD)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:
Last Name:PAPPELBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 CALLE DEL CIELO
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2841
Mailing Address - Country:US
Mailing Address - Phone:858-449-1599
Mailing Address - Fax:
Practice Address - Street 1:8131 CALLE DEL CIELO
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2841
Practice Address - Country:US
Practice Address - Phone:858-449-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA227852080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology