Organization
SANTA CLARITA NEUROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CLIFFORD SCHULTZ MD (PRESIDENT)
(661) 255-5444
Entity
Organization
Contact information
Practice address
23823 VALENCIA BLVD STE 115, VALENCIA, CA 91355-9509
(661) 255-5444
(661) 255-8447
Mailing address
23823 VALENCIA BLVD STE 115, VALENCIA, CA 91355-9509
(661) 255-5444
(661) 255-8447
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G45233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056130
—
CA
Enumeration date
07/30/2006
Last updated
05/04/2018
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