| Doctor Name: | STACEY AMBER GERBRANDT |
| NPI Number: | 1083845887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA20424 |
| Business Practice Address: | 27879 Smyth Dr Valencia, CA - 913554011 |
| Business Phone Number: | 6612592500 |
| Business Fax Number: | |
| Mailing Address: | 27879 Smyth Dr, VALENCIA |
| State: | CA |
| Postal Code: | 913554011 |
| Phone Number: | 6612592500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA20424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |