Provider Demographics
NPI:1316978224
Name:SCHULTZ, ALBERT LINWOOD JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LINWOOD
Last Name:SCHULTZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 660580
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-0580
Mailing Address - Country:US
Mailing Address - Phone:626-447-0296
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:1400 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5906
Practice Address - Country:US
Practice Address - Phone:805-739-3200
Practice Address - Fax:805-739-3064
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-06-25
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Provider Licenses
StateLicense IDTaxonomies
CAG55727207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G557270Medicaid
CA00G557270Medicaid
CAWG55727EMedicare PIN
CAE32594Medicare UPIN