Individual
JERRY ELLEN SCHONFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
455 S MAIN ST, PSF GASTROENTEROLOGY, ORANGE, CA 92868-3835
(714) 289-4099
(714) 516-4299
Mailing address
455 S MAIN ST, PSF GASTROENTEROLOGY, ORANGE, CA 92868-3835
(714) 289-4099
(714) 516-4299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369891
R.N. LIC#
CA
01
—
7867
N.P. LIC. #
CA
Enumeration date
01/21/2008
Last updated
01/21/2008
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