Stephanie Hadimulia
Physician Assistant in Fontana, CA. Individual provider (NPI-1).
NPI number1619703477
StatusActive
Last updated in NPPESMay 5, 2026
Details
- NPI
- 1619703477
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Hadimulia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2024
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA68068 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242
Phone 909-823-8000 · Fax 909-823-8088
Mailing address
16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242
Phone 909-972-5558
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All 98 Physician Assistant providers in Fontana · All 3,550 providers in Fontana
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