Provider Demographics
NPI:1528049251
Name:LERNER, STUART A (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:A
Last Name:LERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STUART
Other - Middle Name:A
Other - Last Name:LERNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6245 WILSHIRE BLVD APT 1206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5176
Mailing Address - Country:US
Mailing Address - Phone:310-739-8711
Mailing Address - Fax:
Practice Address - Street 1:6245 WILSHIRE BLVD APT 1206
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5176
Practice Address - Country:US
Practice Address - Phone:310-739-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC324442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC32444Medicare PIN