=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326219460
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAYMOND H.M. SCHAERF, M.D., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2008
-----------------------------------------------------
Last Update Date | 03/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2601 W ALAMEDA AVE STE 404
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91505-4800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-843-2334
-----------------------------------------------------
Fax | 818-843-3972
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2601 W ALAMEDA AVE STE 404
-----------------------------------------------------
City | BURBANK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91505-4800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-843-2334
-----------------------------------------------------
Fax | 818-843-3972
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. RAYMOND H.M. SCHAERF
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 818-843-2334
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | G39040
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------