Healthcare Provider Details
I. General information
NPI: 1124059878
Provider Name (Legal Business Name): FRANK C CANDELA MD FACS AND DAVID Z SCHREIER MD A MEDICAL COR
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7320 WOODLAKE AVE SUITE 380
WEST HILLS CA
91307-1468
US
IV. Provider business mailing address
7320 WOODLAKE AVE SUITE 380
WEST HILLS CA
91307-1468
US
V. Phone/Fax
- Phone: 818-226-9030
- Fax:
- Phone: 818-226-9030
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
C
CANDELA
Title or Position: PRESIDENT
Credential: M.D., F.A.C.S.
Phone: 818-226-9030