Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 46429 | CA |
Y | 213EG0000X | General Practice | 46429 | CA |
NPI | 1003834656 |
---|---|
Provider Name | Dr. Erich Stirling Schmidt |
First Address | Vista, CA 92081-6056 |
Second Address | Vista, CA 92081-6056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 23/02/2017 |