Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 27529 | CA |
NPI | 1679635700 |
---|---|
Provider Name | Mrs. Carla Dawn Scheel |
First Address | Long Beach, CA 90806-2310 |
Second Address | Long Beach, CA 90806-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |