Basic Information
Provider Information
NPI: 1558592444
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIEN
FirstName: STELLA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 N PEPPER AVE
Address2: WOMEN'S HEALTH DEPARTMENT, MODULE 7
City: COLTON
State: CA
PostalCode: 923241801
CountryCode: US
TelephoneNumber: 9095803470
FaxNumber:  
Practice Location
Address1: 400 N PEPPER AVE
Address2: WOMEN'S HEALTH DEPARTMENT, MODULE 7
City: COLTON
State: CA
PostalCode: 923241801
CountryCode: US
TelephoneNumber: 9095803470
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2009
LastUpdateDate: 11/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X20A9946CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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