Provider Demographics
NPI:1609852029
Name:SCHOTT, RONALD E (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:E
Last Name:SCHOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2031 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2959
Mailing Address - Country:US
Mailing Address - Phone:818-841-2880
Mailing Address - Fax:818-841-5312
Practice Address - Street 1:2031 W ALAMEDA AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2958
Practice Address - Country:US
Practice Address - Phone:818-841-2880
Practice Address - Fax:818-841-5312
Is Sole Proprietor?:No
Enumeration Date:2005-12-17
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39740207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG39740Medicare PIN
CAA47940Medicare UPIN
P00689723Medicare PIN