Healthcare Provider Details

I. General information

NPI: 1275497182
Provider Name (Legal Business Name): ELIZABETH CHAIA SCHULCZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2329 PARNELL AVE
LOS ANGELES CA
90064-2201
US

IV. Provider business mailing address

2329 PARNELL AVE
LOS ANGELES CA
90064-2201
US

V. Phone/Fax

Practice location:
  • Phone: 310-926-6151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number220140410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: