Provider Demographics
NPI:1710370002
Name:PETER J. SCHEID, M.D. INC
Entity Type:Organization
Organization Name:PETER J. SCHEID, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHN ELLIOT
Authorized Official - Last Name:SCHEID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-629-4140
Mailing Address - Street 1:34249 CAMINO CAPISTRANO
Mailing Address - Street 2:
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624-1138
Mailing Address - Country:US
Mailing Address - Phone:949-359-5663
Mailing Address - Fax:949-542-3878
Practice Address - Street 1:34249 CAMINO CAPISTRANO
Practice Address - Street 2:
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624-1138
Practice Address - Country:US
Practice Address - Phone:949-629-4140
Practice Address - Fax:949-229-7684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70698207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty