| Doctor Name: | STEFANIE UECHI |
| NPI Number: | 1114355096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, FNP-BC |
| License Number: | 23541 |
| Business Practice Address: | 19353 Victory Blvd Reseda, CA - 91335 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | |
| Mailing Address: | 2623 Gates Ave # 3, REDONDO BEACH |
| State: | CA |
| Postal Code: | 902782217 |
| Phone Number: | 6176203420 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2013 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 23541 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |