Individual
BERT B SCHOENKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 495-2161
(805) 371-1158
Mailing address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 495-2161
(805) 371-1158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G21861
CA
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
G21861
CA
207VG0400X
Gynecology Physician
G21861
CA
207VM0101X
Maternal & Fetal Medicine Physician
G21861
CA
207VX0000X
Obstetrics Physician
G21861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G218610
—
CA
Enumeration date
11/08/2006
Last updated
12/12/2011
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