Provider Demographics
NPI:1811018047
Name:SCHOENAU, GAIL T (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:T
Last Name:SCHOENAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31862 COAST HWY
Mailing Address - Street 2:#204
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6769
Mailing Address - Country:US
Mailing Address - Phone:949-499-8233
Mailing Address - Fax:949-499-8238
Practice Address - Street 1:31862 COAST HWY
Practice Address - Street 2:#204
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6769
Practice Address - Country:US
Practice Address - Phone:949-499-8233
Practice Address - Fax:949-499-8238
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61510207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC46714Medicare UPIN
CAG61510Medicare ID - Type Unspecified