Stephanie Banner

Individual provider Active NPI Rehabilitation Practitioner · Westminster, CA

NPI 1154475168 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154475168
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
13950 Milton Ave
Suite 303
Westminster, CA 92683-2900
Phone
(714) 901-4629
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

13950 Milton Ave
Suite 303
Westminster, CA 92683-2900

Mailing address

800 S Santa Anita Ave
Arcadia, CA 91006-6853
Phone (626) 254-5000

Other providers in Westminster, CA

All providers in Westminster, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.