Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staci Jae Skrederstu, LE

Individual provider Other Specialist/Technologist · NPI 1285461376

Staci Jae Skrederstu, LE is an Other Specialist/Technologist in Montrose, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2032 Thompson Ct Ste 12
Montrose, CA 91020-1652
Phone: (818) 249-5489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence L9882 (CA)

Record details

NPI number1285461376
Entity typeIndividual (Type 1)
GenderFemale
Credentials LE
Sole proprietorNo
NPI enumeratedSeptember 14, 2024
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 3, 2024

Other providers in Montrose