Healthcare Provider Details

I. General information

NPI: 1730304668
Provider Name (Legal Business Name): JEFFREY SCHALL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20241 W VALLEY BLVD
TEHACHAPI CA
93561-8746
US

IV. Provider business mailing address

PO BOX 28
TEHACHAPI CA
93581-0028
US

V. Phone/Fax

Practice location:
  • Phone: 661-822-0811
  • Fax:
Mailing address:
  • Phone: 661-822-0811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number15374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: