Individual
DR. ADAM DAVID BENNETT SCHICKEDANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(314) 303-3309
Mailing address
14445 OLIVE VIEW DR # S, SYLMAR, CA 91342-1437
(747) 210-3233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A119168
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2010
Last updated
06/23/2022
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