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General NPI Number Information
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NPI Number | 1770632622
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Entity Type | Organization
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Legal Business Name | JOHN SCHOFIELD, D.O. INC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 2222 SANTA MONICA BLVD STE 302
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-205-5400
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Fax | 310-205-5562
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Provider Business Mailing Address
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Address Line | 2222 SANTA MONICA BLVD STE 302
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City | SANTA MONICA
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State | CA
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Zip | 90404-2307
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Country | US
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Telephone | 310-205-5400
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Fax | 310-205-5562
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN KELLY SCHOFIELD
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Credential | D.O.
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Telephone | 310-205-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 20A8336
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License Number State | CA
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