Organization
ELLIOTT A. SCHAFFZIN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHELLE CHRISTINE VASQUEZ (OFFICE MANAGER)
(805) 381-1953
Entity
Organization
Contact information
Practice address
8221 N FRESNO ST, FRESNO, CA 93720-2041
(800) 242-0880
(559) 492-5635
Mailing address
2176 HIGHGATE RD, WESTLAKE VILLAGE, CA 91361-3523
(805) 657-5567
(805) 496-1409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G33746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A45665
UPIN
CA
01
—
G33746
STATE LICENSE
CA
Enumeration date
07/30/2010
Last updated
02/08/2019
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