Provider Demographics
NPI:1760795991
Name:STANCZ-SZEDER, HENRIETTA (MD)
Entity type:Individual
Prefix:
First Name:HENRIETTA
Middle Name:
Last Name:STANCZ-SZEDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HENRIETTA
Other - Middle Name:
Other - Last Name:STANCZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3064 MOTOR AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-4745
Mailing Address - Country:US
Mailing Address - Phone:310-734-7367
Mailing Address - Fax:310-734-7388
Practice Address - Street 1:436 N ROXBURY DR STE 205
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5017
Practice Address - Country:US
Practice Address - Phone:310-734-7367
Practice Address - Fax:310-734-7388
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116940207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology