Organization
STEPHEN P SCHALL MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P SCHALL M.D. (MEDICAL DIRECTOR)
(310) 273-3011
Entity
Organization
Contact information
Practice address
9100 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-3415
(310) 273-3011
Mailing address
420 E 3RD ST STE 603, LOS ANGELES, CA 90013-1645
(213) 625-2694
(213) 712-7023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G397370
BLUE SHIELD
—
05
—
00G397371
—
CA
01
—
180011220
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
09/11/2020
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