Provider Demographics
NPI:1811080583
Name:SCHIFF, WENDY C (CHT)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:C
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:360 SAN MIGUEL DR
Mailing Address - Street 2:STE 302
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7829
Mailing Address - Country:US
Mailing Address - Phone:714-556-2288
Mailing Address - Fax:714-435-1745
Practice Address - Street 1:1700 ADAMS AVENUE
Practice Address - Street 2:STE 103
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:714-556-2288
Practice Address - Fax:714-435-1745
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOT360225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOT0003600OtherBLUE SHIELD
CAA003OtherTRICARE
CAWOT360AMedicare ID - Type Unspecified