Provider Demographics
NPI:1497911671
Name:BARBARA L. SCHULZ,MD, INC
Entity Type:Organization
Organization Name:BARBARA L. SCHULZ,MD, INC
Other - Org Name:MEDICAL GROUP OF WOMEN PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-376-2716
Mailing Address - Street 1:510 N PROSPECT AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3028
Mailing Address - Country:US
Mailing Address - Phone:310-376-2716
Mailing Address - Fax:310-374-9163
Practice Address - Street 1:2809 N SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2727
Practice Address - Country:US
Practice Address - Phone:310-545-1247
Practice Address - Fax:310-546-4380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW1425AMedicare PIN