Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | G068212 | CA |
NPI | 1558583526 |
---|---|
Provider Name | Dr. Maren Theresa Scheuner |
First Address | San Francisco, CA 94143-2204 |
Second Address | Los Angeles, CA 90048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 28/11/2018 |