Provider Demographics
NPI:1174698468
Name:STANFORD HOSPITAL AND CLINICS
Entity type:Organization
Organization Name:STANFORD HOSPITAL AND CLINICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARRIO
Authorized Official - Suffix:
Authorized Official - Credentials:CLS MCE PHARMD
Authorized Official - Phone:650-575-5968
Mailing Address - Street 1:3375 HILLVIEW
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-725-5635
Mailing Address - Fax:650-736-1474
Practice Address - Street 1:3375 HILLVIEW
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-725-5635
Practice Address - Fax:650-736-1474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STANFORD HOSPITAL AND CLINICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-21
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF332530291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory