Individual
JOANNA MIRIAM SCHAENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1245 16TH ST, # 309, SANTA MONICA, CA 90404-1235
(310) 319-4371
(310) 319-4141
Mailing address
200 MED PLZ, 365, LOS ANGELES, CA 90095-0001
(310) 794-6553
(310) 825-3632
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A80357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790956324
CCS PANELED
CA
05
—
1790956324
—
CA
Enumeration date
03/24/2008
Last updated
01/25/2012
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