Provider Demographics
NPI:1578534947
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:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LEE
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:#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 1:510 N PROSPECT AVE
Practice Address - Street 2:#320
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3028
Practice Address - Country:US
Practice Address - Phone:310-376-2716
Practice Address - Fax:310-374-9163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0060970Medicaid
CAW14245Medicare PIN