Healthcare Provider Details

I. General information

NPI: 1326219460
Provider Name (Legal Business Name): RAYMOND H.M. SCHAERF, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 W ALAMEDA AVE STE 404
BURBANK CA
91505-4800
US

IV. Provider business mailing address

2601 W ALAMEDA AVE STE 404
BURBANK CA
91505-4800
US

V. Phone/Fax

Practice location:
  • Phone: 818-843-2334
  • Fax: 818-843-3972
Mailing address:
  • Phone: 818-843-2334
  • Fax: 818-843-3972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG39040
License Number StateCA

VIII. Authorized Official

Name: DR. RAYMOND H.M. SCHAERF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-843-2334