Healthcare Provider Details
I. General information
NPI: 1598601577
Provider Name (Legal Business Name): EARL MAXIMILIAN SCHULTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7601 IMPERIAL HWY
DOWNEY CA
90242-3456
US
IV. Provider business mailing address
7031 WOODROW WILSON DR
LOS ANGELES CA
90068-1849
US
V. Phone/Fax
- Phone: 562-385-6847
- Fax:
- Phone: 773-459-3814
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 306512 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: