Individual
ALAN R SCHENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24331 EL TORO RD, STE. 380, LAGUNA WOODS, CA 92637-2752
(949) 583-0222
(949) 583-0252
Mailing address
24331 EL TORO RD, STE. 380, LAGUNA WOODS, CA 92637-2752
(949) 583-0222
(949) 583-0252
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G46010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G460101
BLUE SHIELD OF CALIFORNIA
CA
01
—
330124860
MOST OF THE CARRIERS
CA
Enumeration date
09/07/2005
Last updated
09/18/2012
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