Provider Demographics
NPI:1699798694
Name:STERN, DAVID HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HOWARD
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3400 LOMITA BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4900
Mailing Address - Country:US
Mailing Address - Phone:310-784-8008
Mailing Address - Fax:310-784-8008
Practice Address - Street 1:3400 LOMITA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4900
Practice Address - Country:US
Practice Address - Phone:310-784-8000
Practice Address - Fax:310-784-8008
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG61168207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G611680Medicaid
1013096270OtherCORPORATE NPI
1013096270OtherCORPORATE NPI
E69459Medicare UPIN