Individual
MR. BRYAN JAMES SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4150 REGENTS PARK ROW, #345, LA JOLLA, CA 92037-9102
(858) 677-9700
(858) 677-9770
Mailing address
4150 REGENTS PARK ROW, #345, LA JOLLA, CA 92037-9102
(858) 677-9700
(858) 677-9770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11570447
CAQH
CA
01
—
ZZZ13110Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/09/2005
Last updated
10/03/2024
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