Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC16851 | CA |
NPI | 1780607630 |
---|---|
Provider Name | Dr. Gerald Irwin Schneider |
First Address | Beverly Hills, CA 90211-2926 |
Second Address | Beverly Hills, CA 90211-2926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |