Healthcare Provider Details

I. General information

NPI: 1760923601
Provider Name (Legal Business Name): EMERSON MEDICAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2017
Last Update Date: 03/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 E GRAND AVE
ESCONDIDO CA
92025-4402
US

IV. Provider business mailing address

635 E GRAND AVE
ESCONDIDO CA
92025-4402
US

V. Phone/Fax

Practice location:
  • Phone: 347-405-8160
  • Fax: 347-405-8161
Mailing address:
  • Phone: 347-405-8160
  • Fax: 347-405-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM SCHOENFELD
Title or Position: OWNER
Credential: MD
Phone: 347-405-8160