Provider Demographics
NPI:1457770208
Name:SARAH E STANTON MD INC
Entity Type:Organization
Organization Name:SARAH E STANTON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-663-5791
Mailing Address - Street 1:9 SPRING BUCK
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7431
Mailing Address - Country:US
Mailing Address - Phone:858-829-5407
Mailing Address - Fax:949-679-7408
Practice Address - Street 1:9 SPRING BUCK
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7431
Practice Address - Country:US
Practice Address - Phone:858-829-5407
Practice Address - Fax:949-679-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79771261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1780600486OtherINDIVIDUAL NPI NUMBER