Healthcare Provider Details

I. General information

NPI: 1437191327
Provider Name (Legal Business Name): ROBERT SCHATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58457 29 PALMS HWY STE. 200
YUCCA VALLEY CA
92284-5879
US

IV. Provider business mailing address

58457 29 PALMS HWY STE. 200
YUCCA VALLEY CA
92284-5879
US

V. Phone/Fax

Practice location:
  • Phone: 760-228-1813
  • Fax: 760-369-7331
Mailing address:
  • Phone: 760-228-1813
  • Fax: 760-369-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG42130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: