Stacey R Brenner
Medical Specialty
Professional ID
- NPI: 1386971505
- PECOS ID: 1456539170
- Enrollment ID: I20110629000190
- Credential(MD, DO, DPM):
- Medical School: University Of Pennsylvania School Of Medicine
- Medical School Graduation Year: 2008
Medical Practices
- Organization Name: Lakeside Medical Organization, A Medical Group Inc.
- Group Practice ID assigned by PECOS: 7618005166
- Number of Group Practice member: 117
Location
- Address1: 24355 Lyons Ave
- Address2: Suite 210
- City: Santa Clarita
- State: California
- Zip Code: 91321
- Phone Number: (661)222-9381
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):