Provider Demographics
NPI:1679672489
Name:SCHULZ, CATHERINE R (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:R
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:R
Other - Last Name:RODZIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:801 E WALNUT ST
Mailing Address - Street 2:1514
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-5610
Mailing Address - Country:US
Mailing Address - Phone:249-320-6090
Mailing Address - Fax:
Practice Address - Street 1:801 E WALNUT ST
Practice Address - Street 2:1514
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-5610
Practice Address - Country:US
Practice Address - Phone:249-320-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301048362207L00000X
CAG88562207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4168753Medicaid
MI4168753Medicaid
D30639Medicare UPIN