| Organization Name: | STANFORD UNIVERSITY |
| NPI Number: | 1023208030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL GRIMM (PROGRAM DIRECTOR) |
| Mailing Address: | 300 Pasteur Dr Room G306 Stanford |
| State: | CA US |
| Postal Code: | 943052200 |
| Phone Number: | 6507237903 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | A100154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |