Healthcare Provider Details

I. General information

NPI: 1043284326
Provider Name (Legal Business Name): KARL EDWARD BUECHSENSCHUETZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 LOMA VISTA RD
VENTURA CA
93003-3101
US

IV. Provider business mailing address

3525 LOMA VISTA RD
VENTURA CA
93003-3101
US

V. Phone/Fax

Practice location:
  • Phone: 805-641-6415
  • Fax: 805-641-6424
Mailing address:
  • Phone: 805-641-6415
  • Fax: 805-641-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number8801
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number8801
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number8801
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number20A9752
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number20A9752
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number20A9752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: