# RASOUL SCHOLZ MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699107706
- **Authorized official:** DR. RASOUL SCHOLZ MD (ANESTHESIOLOGIST)
- **Authorized official phone:** (209) 339-9022

## Contact information

- **Practice address:** 1006 NUT TREE RD, VACAVILLE, CA 95687-4100
- **Practice address phone:** (209) 339-9022
- **Practice address fax:** (209) 339-9033
- **Mailing address:** PO BOX 55243, STOCKTON, CA 95205-8743
- **Mailing address phone:** (209) 339-9022
- **Mailing address fax:** (209) 339-9033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A77903 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 06/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A77903 | MEDICAL LICENSE | CA |