Laila Issam Kreitem, PA-C
Physician Assistant in Stanford, CA. Individual provider (NPI-1).
NPI number1215664800
StatusActive
Last updated in NPPESDec 18, 2025
Details
- NPI
- 1215664800
- Entity type
- Individual (NPI-1)
- Name
- Laila Issam Kreitem
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2022
- Certification date
- Dec 18, 2025
- Last updated
- Dec 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 61461 | CA | Yes |
| 363AM0700X | Physician Assistant, Medical | 61461 | CA |
Practice location
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
Mailing address
300 Pasteur DrStanford, CA 94305-2200
Phone 650-723-4000
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