Provider Demographics
NPI:1598721540
Name:SCHEINHORN, JEANNINE W (MD)
Entity Type:Individual
Prefix:DR
First Name:JEANNINE
Middle Name:W
Last Name:SCHEINHORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1808 VERDUGO BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1482
Mailing Address - Country:US
Mailing Address - Phone:818-790-0702
Mailing Address - Fax:818-790-2708
Practice Address - Street 1:1808 VERDUGO BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1482
Practice Address - Country:US
Practice Address - Phone:818-790-0702
Practice Address - Fax:818-790-2708
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA43873207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA43875Medicare ID - Type Unspecified
CAB50514Medicare UPIN
CA4299270001Medicare NSC