Provider Demographics
NPI:1205383528
Name:CAMILLE SCHINDLER
Entity type:Organization
Organization Name:CAMILLE SCHINDLER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST AND HERBALIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:707-318-0423
Mailing Address - Street 1:1736 16TH ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-1546
Mailing Address - Country:US
Mailing Address - Phone:707-318-0423
Mailing Address - Fax:
Practice Address - Street 1:541 ATHOL AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1507
Practice Address - Country:US
Practice Address - Phone:707-318-0423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17091305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service