Healthcare Provider Details

I. General information

NPI: 1285445874
Provider Name (Legal Business Name): CYNTHIA SCHATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24441 CALLE SONORA
LAGUNA WOODS CA
92637-7714
US

IV. Provider business mailing address

38 SHAMAN
IRVINE CA
92618-8810
US

V. Phone/Fax

Practice location:
  • Phone: 949-313-8668
  • Fax:
Mailing address:
  • Phone: 714-865-3327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number5838
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: