Healthcare Provider Details

I. General information

NPI: 1992428213
Provider Name (Legal Business Name): MARKUS SCHOPMEYER MED, MA, COMS, CLVT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT STREET VETERAN EXPERIENCE CENTER, VIST OFFICE, BLDG 3, RM 8
SAN FRANCISCO CA
94121
US

IV. Provider business mailing address

4150 CLEMENT ST # V11
SAN FRANCISCO CA
94121-1563
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-4810
  • Fax: 415-750-2261
Mailing address:
  • Phone: 415-221-4810
  • Fax: 415-750-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number22480
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number22502
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: