Provider Demographics
NPI:1720002231
Name:SCHULLER, ARTHUR BRUNO (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:BRUNO
Last Name:SCHULLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WINHAM ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:831-771-0244
Mailing Address - Fax:831-771-0243
Practice Address - Street 1:31 WINHAM ST
Practice Address - Street 2:SUITE A1
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3314
Practice Address - Country:US
Practice Address - Phone:831-643-9788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24233174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42206Medicare UPIN
CA00G242330Medicare ID - Type Unspecified