Healthcare Provider Details

I. General information

NPI: 1578312898
Provider Name (Legal Business Name): STEPHEN SCHIRMACHER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SAND CANYON AVE
IRVINE CA
92618-3714
US

IV. Provider business mailing address

28711 VIA CORONADO
MISSION VIEJO CA
92692-3951
US

V. Phone/Fax

Practice location:
  • Phone: 949-727-5016
  • Fax:
Mailing address:
  • Phone: 949-307-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number739164
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: