Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G81742 | CA |
NPI | 1013095611 |
---|---|
Provider Name | Edmond L. Schmulbach |
First Address | Oakland, CA 94612-3466 |
Second Address | South San Francisco, CA 94080-3208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G817420 | (05) | CA |
G87225 | (02) |