Provider Demographics
NPI:1962800607
Name:STANFORD HOPSITAL
Entity type:Organization
Organization Name:STANFORD HOPSITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEAD ADVANCE PRACTICE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:NP, MS
Authorized Official - Phone:650-725-5078
Mailing Address - Street 1:PO BOX 1078
Mailing Address - Street 2:571 FRANCISCO ST
Mailing Address - City:EL GRANADA
Mailing Address - State:CA
Mailing Address - Zip Code:94018-1078
Mailing Address - Country:US
Mailing Address - Phone:650-740-6240
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR ,STANFORD HEALTH CARE ED OBS UNIT
Practice Address - Street 2:HC133 MC5239
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-725-5078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294137 NP5213282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1194836494OtherNPI
CA1194836494OtherNPI