Provider Demographics
NPI:1497183784
Name:OSCAR J PAZ-ALTSCHUL, INC
Entity Type:Organization
Organization Name:OSCAR J PAZ-ALTSCHUL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAZ-ALTSCHUL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-323-6325
Mailing Address - Street 1:380 E PASEO EL MIRADOR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4842
Mailing Address - Country:US
Mailing Address - Phone:760-323-6325
Mailing Address - Fax:760-323-6531
Practice Address - Street 1:1150 N INDIAN CANYON DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4872
Practice Address - Country:US
Practice Address - Phone:760-323-6325
Practice Address - Fax:760-323-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A438660Medicaid
CA00A438660Medicaid