Stephanie Deslate, NP
Nurse Practitioner, Family in La Mirada, CA. Individual provider (NPI-1).
NPI number1962089508
StatusActive
Last updated in NPPESAug 21, 2025
Details
- NPI
- 1962089508
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Deslate
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Aug 21, 2025
- Last updated
- Aug 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95015073 | CA | Yes |
| 163W00000X | Registered Nurse | 95114124 | CA |
Practice location
12675 La Mirada Blvd Ste 220La Mirada, CA 90638-2235
Phone 562-967-2273 · Fax 562-967-2911
Mailing address
12675 La Mirada Blvd Ste 220La Mirada, CA 90638-2235
Other practice locations
12401 Washington Blvd
Whittier, CA 90602-1006
Whittier, CA 90602-1006
Phone 562-698-0811 · Fax 590-256-2789
11500 Brookshire Ave
Downey, CA 90241-4917
Downey, CA 90241-4917
Phone 562-904-5000 · Fax 562-904-5140
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Los Angeles, CA 90017-1901
Phone 213-977-2121 · Fax 213-482-2770
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