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Stacey R Brenner

  • Female

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):