Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E-4902 | CA |
NPI | 1053625202 |
---|---|
Provider Name | Dr. Matthew Louis Schneider |
First Address | Rancho Santa Margarita, CA 92688-3947 |
Second Address | Rancho Santa Margarita, CA 92688-3947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2010 |
Last Update Date | 11/02/2022 |