Individual
AMANDA SCHAFENACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8826
(714) 501-4169
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8826
(714) 501-4169
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A152479
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
01/31/2023
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