Healthcare Provider Details

I. General information

NPI: 1851569792
Provider Name (Legal Business Name): TIMOTHY THOMAS SCHULTZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 W COTA ST SUITE D
SANTA BARBARA CA
93101-7078
US

IV. Provider business mailing address

136 W COTA ST SUITE D
SANTA BARBARA CA
93101-7078
US

V. Phone/Fax

Practice location:
  • Phone: 805-966-0055
  • Fax: 805-966-2012
Mailing address:
  • Phone: 805-966-0055
  • Fax: 805-966-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20A6166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: