Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | A43016 | CA |
NPI | 1114940285 |
---|---|
Provider Name | Leonard Neil Schulkind |
First Address | San Diego, CA 92107-3949 |
Second Address | San Diego, CA 92109-4292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A43016 | (05) | CA |