Provider Demographics
NPI:1871863548
Name:SARMIENTO, STELLA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:MARIE
Last Name:SARMIENTO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1310 CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94592
Mailing Address - Country:US
Mailing Address - Phone:707-638-5205
Mailing Address - Fax:707-638-5225
Practice Address - Street 1:2201 COURAGE DR
Practice Address - Street 2:MS-9100
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6733
Practice Address - Country:US
Practice Address - Phone:707-784-2001
Practice Address - Fax:707-784-1494
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2022-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11672208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics