Healthcare Provider Details

I. General information

NPI: 1043239049
Provider Name (Legal Business Name): ALAN C SCHLAERTH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUNTINGTON DR PACIFIC GYNECOLOGIC SPECIALISTS
ARCADIA CA
91007-3402
US

IV. Provider business mailing address

P.O. BOX 8410
PASADNENA CA
91109-8410
US

V. Phone/Fax

Practice location:
  • Phone: 626-898-8198
  • Fax: 626-898-8231
Mailing address:
  • Phone: 626-898-8198
  • Fax: 626-898-8231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberA72436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: