Provider Demographics
NPI:1952527541
Name:STIRLING, ANETA STEFANIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANETA
Middle Name:STEFANIA
Last Name:STIRLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40075 BOB HOPE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3942
Mailing Address - Country:US
Mailing Address - Phone:760-770-5355
Mailing Address - Fax:760-770-5372
Practice Address - Street 1:40075 BOB HOPE DR
Practice Address - Street 2:SUITE F
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3942
Practice Address - Country:US
Practice Address - Phone:760-770-5355
Practice Address - Fax:760-770-5372
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64563174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG71418Medicare UPIN
CA00A645630Medicare ID - Type Unspecified