Provider Demographics
NPI:1396325536
Name:STERNFELD, ELIANNA ESTHER (DO)
Entity type:Individual
Prefix:
First Name:ELIANNA
Middle Name:ESTHER
Last Name:STERNFELD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 YULUPA AVE # 133
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-8584
Mailing Address - Country:US
Mailing Address - Phone:707-395-5787
Mailing Address - Fax:
Practice Address - Street 1:2777 YULUPA AVE # 133
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-8584
Practice Address - Country:US
Practice Address - Phone:707-395-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23008208000000X
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics