Stoletniy, Liset

Stoletniy, Liset is an individual health care provider with primary practice located at 11234 Anderson St #1617, Loma Linda CA 92354-2804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Stoletniy, Liset can be contacted via phone (909) 558-8590.

Contact Information

Primary practice address
11234 Anderson St #1617 Loma Linda CA 92354-2804
Phone: (909) 558-8590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A51258 California
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X A51258 California

Profile Details

NPI number 1548295116
LBN Legal business name Stoletniy, Liset
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548295116 NPPES
California MEDICAID 00A512580

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