Basic Information
| Provider Information | |||||||||
| NPI: | 1134226558 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRESINO | ||||||||
| FirstName: | ALTHEA | ||||||||
| MiddleName: | CELIA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7169 | ||||||||
| Address2: | |||||||||
| City: | BURBANK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 915107169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8184340679 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7107 REMMET AVE | ||||||||
| Address2: | |||||||||
| City: | CANOGA PARK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913032016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183403570 | ||||||||
| FaxNumber: | 8187029578 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | A62833 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine |
No ID Information.