Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 034551 | CA |
NPI | 1083799415 |
---|---|
Provider Name | Dr. Richard E Schell |
First Address | Redondo Beach, CA 90277 |
Second Address | Redondo Beach, CA 90277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |