Provider Demographics
NPI:1992746689
Name:WAINSCHEL, LARRY (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:WAINSCHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:251 COHASSET RD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2241
Mailing Address - Country:US
Mailing Address - Phone:530-895-3333
Mailing Address - Fax:530-895-3217
Practice Address - Street 1:251 COHASSET RD
Practice Address - Street 2:SUITE 370
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2241
Practice Address - Country:US
Practice Address - Phone:530-895-3333
Practice Address - Fax:530-895-3217
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA75066207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A750660Medicaid
CAI28628Medicare UPIN
CA00A750660Medicaid