Healthcare Provider Details

I. General information

NPI: 1639490931
Provider Name (Legal Business Name): ARON SCHUFTAN MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 12/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WARREN ST SUITE 302
REDWOOD CITY CA
94063-1578
US

IV. Provider business mailing address

415 TESCONI CIR
SANTA ROSA CA
95401-4619
US

V. Phone/Fax

Practice location:
  • Phone: 650-701-1882
  • Fax: 650-701-1886
Mailing address:
  • Phone: 707-578-1175
  • Fax: 707-578-1147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARON SCHUFTAN
Title or Position: PRESIDENT
Credential: MD
Phone: 650-701-1882