MEDICARE: MR. THOMAS P SCHMALZRIED MD INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G55401	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841225042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS P SCHMALZRIED MD INC.

Provider Business Mailing Address
First Line	:	2200 W 3RD ST
Second Line	:	STE. 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1932
Country	:	US
Telephone Number	:	213-484-7600
Fax Number	:	213-484-7680

Provider Business Practice Location Address
First Line	:	2200 W 3RD ST
Second Line	:	STE. 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1932
Country	:	US
Telephone Number	:	213-484-7600
Fax Number	:	213-484-7680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	02/23/2012

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