Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G21093 | CA |
NPI | 1023010030 |
---|---|
Provider Name | Dr. Nathan David Schultz |
First Address | Walnut Creek, CA 94598-3045 |
Second Address | Walnut Creek, CA 94598-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 22/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A41175 | (02) | CA |