Individual
DINA L SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23340 ZUNIGA RD, TOPANGA, CA 90290-3958
(310) 702-6367
Mailing address
23340 ZUNIGA RD, TOPANGA, CA 90290-3958
(310) 702-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
788793
RN LICENSE
CA
01
—
95011298
NURSE PRACTITIONER LICENSE
CA
Enumeration date
03/20/2019
Last updated
03/20/2019
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