Provider Demographics
NPI:1952844086
Name:STILES, CLAIRE MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:MARTIN
Last Name:STILES
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 1:1353 VIA CORONEL
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-1937
Mailing Address - Country:US
Mailing Address - Phone:310-541-7151
Mailing Address - Fax:
Practice Address - Street 1:1353 VIA CORONEL
Practice Address - Street 2:
Practice Address - City:PALOS VERDES ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-1937
Practice Address - Country:US
Practice Address - Phone:310-541-7151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG6572207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology