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STACI JAE SKREDERSTU LE
NPI 1285461376
Specialist/Technologist, Other in Montrose, CA

Active since September 14, 2024
2032 THOMPSON CT STE 12, MONTROSE, CA 91020(818) 249-5489 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci Jae Skrederstu Le NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACI JAE SKREDERSTU LE (NPI 1285461376) is an individual specialist/technologist, other provider in Montrose, California, licensed in California (L9882) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1285461376
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameSTACI JAE SKREDERSTUCredential: LE
Location Address2032 THOMPSON CT STE 12Montrose, CA 91020-1652
Mailing Address427 N 7th StMontebello, CA 90640-4211 · (818) 383-8278
Phone(818) 249-5489
Sole ProprietorNo
Enumeration DateSeptember 14, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1285461376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License✔ Licensed in CA · L9882
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
2032 THOMPSON CT STE 12, Montrose, CA 91020
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JUDEE H CARRICO
Specialist/Technologist, Other
2032 THOMPSON CT STE 12
MONTROSE, CA 91020
Los Angeles County (818) 249-5489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Skrederstu's NPI number?

The NPI number for Staci Skrederstu is 1285461376. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Staci Skrederstu located?

Staci Skrederstu practices at 2032 Thompson Ct Ste 12, Montrose, CA 91020. The listed phone number is (818) 249-5489.

What is Staci Skrederstu's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Staci Skrederstu was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.