Healthcare Provider Details

I. General information

NPI: 1861684938
Provider Name (Legal Business Name): HANS F SCHOELLHAMMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44151 15TH ST W
LANCASTER CA
93534-4079
US

IV. Provider business mailing address

PO BOX 512185
LOS ANGELES CA
90051-0185
US

V. Phone/Fax

Practice location:
  • Phone: 661-902-5600
  • Fax: 661-951-0686
Mailing address:
  • Phone: 626-775-3514
  • Fax: 626-408-3911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA96976
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA96976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: