MEDICARE: DR. STEPHEN ALAN SCHMONES M.D.

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	207V00000X	Obstetrics & Gynecology Physician	G44342	CA

General Provider Information

NPI Number	:	1932199189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ALAN SCHMONES M.D.

Provider Business Mailing Address
First Line	:	500 E OLIVE AVE
Second Line	:	STE 420
City	:	BURBANK
State	:	CA
Zip	:	91501-2171
Country	:	US
Telephone Number	:	818-843-2826
Fax Number	:	818-843-5335

Provider Business Practice Location Address
First Line	:	500 E OLIVE AVE
Second Line	:	STE 420
City	:	BURBANK
State	:	CA
Zip	:	91501-2171
Country	:	US
Telephone Number	:	818-843-2628
Fax Number	:	818-843-5355

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	07/15/2020

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