Provider Demographics
NPI:1740592674
Name:SCOTT, CORNELIUS CHAPMAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:CORNELIUS
Middle Name:CHAPMAN
Last Name:SCOTT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:235 LA VEREDA RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1227
Mailing Address - Country:US
Mailing Address - Phone:626-676-2297
Mailing Address - Fax:626-796-9199
Practice Address - Street 1:235 LA VEREDA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1227
Practice Address - Country:US
Practice Address - Phone:626-676-2297
Practice Address - Fax:626-796-9199
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG009650207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology