Provider Demographics
NPI:1124059878
Name:FRANK C CANDELA MD FACS AND DAVID Z SCHREIER MD A MEDICAL COR
Entity type:Organization
Organization Name:FRANK C CANDELA MD FACS AND DAVID Z SCHREIER MD A MEDICAL COR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:C
Authorized Official - Last Name:CANDELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:818-226-9030
Mailing Address - Street 1:7320 WOODLAKE AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:818-226-9030
Mailing Address - Fax:
Practice Address - Street 1:7320 WOODLAKE AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:818-226-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW11019Medicare ID - Type Unspecified