Provider Demographics
NPI:1205827045
Name:SCHECHTER, DAVID LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LOUIS
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10811 WASHINGTON BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3659
Mailing Address - Country:US
Mailing Address - Phone:310-836-2225
Mailing Address - Fax:310-694-9814
Practice Address - Street 1:10811 WASHINGTON BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3659
Practice Address - Country:US
Practice Address - Phone:310-836-2225
Practice Address - Fax:310-694-9814
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56171207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93425Medicare UPIN