Provider Demographics
NPI:1962694570
Name:KARL A. SCHULZ, M.D A PROFESSIONAL CORP
Entity type:Organization
Organization Name:KARL A. SCHULZ, M.D A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-346-8771
Mailing Address - Street 1:39000 BOB HOPE DR STE P212
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-7025
Mailing Address - Country:US
Mailing Address - Phone:760-346-8771
Mailing Address - Fax:760-773-1643
Practice Address - Street 1:39000 BOB HOPE DR STE P212
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-7025
Practice Address - Country:US
Practice Address - Phone:760-346-8771
Practice Address - Fax:760-773-1643
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KARL A. SCHULZ, M.D. A PROFFESSIONAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-16
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG516770174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty