Individual
DR. MITCHELL C SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18350 ROSCOE BLVD, SUITE 101, NORTHRIDGE, CA 91325-4109
(818) 349-8300
(818) 349-2214
Mailing address
18350 ROSCOE BLVD, SUITE 101, NORTHRIDGE, CA 91325-4109
(818) 349-8300
(818) 349-2214
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G079168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G079168
STATE LICENSE
CA
Enumeration date
09/14/2006
Last updated
04/25/2008
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