Healthcare Provider Details

I. General information

NPI: 1124023999
Provider Name (Legal Business Name): SHEILA L WRIGHT-SCOTT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date: 03/20/2006
Reactivation Date: 04/03/2006

III. Provider practice location address

1739 W AVENUE J
LANCASTER CA
93534-2703
US

IV. Provider business mailing address

1739 W AVENUE J
LANCASTER CA
93534-2703
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-4643
  • Fax: 661-948-1100
Mailing address:
  • Phone: 661-948-4643
  • Fax: 661-948-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG45401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: