Healthcare Provider Details

I. General information

NPI: 1063763142
Provider Name (Legal Business Name): VIRGINIA SCHOENFELD PHD, DCM-P, BCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2012
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26933 CAMINO DE ESTRELLA STE B
DANA POINT CA
92624
US

IV. Provider business mailing address

40 CALLE CASTILLO
SAN CLEMENTE CA
92673-6868
US

V. Phone/Fax

Practice location:
  • Phone: 949-584-1942
  • Fax:
Mailing address:
  • Phone: 949-584-1942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: