Provider Demographics
NPI:1952046443
Name:GIL RICHTER SCHMID, STAR L
Entity Type:Individual
Prefix:
First Name:STAR
Middle Name:L
Last Name:GIL RICHTER SCHMID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 W 1ST ST APT 213
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-4043
Mailing Address - Country:US
Mailing Address - Phone:714-323-2416
Mailing Address - Fax:
Practice Address - Street 1:4220 W 1ST ST APT 213
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-4043
Practice Address - Country:US
Practice Address - Phone:714-323-2416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician