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NPI Code Detail

MEDICARE: PETER J. SCHEID, M.D. INC

MEDICARE: PETER J. SCHEID, M.D. INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0401XAddiction Medicine (Family Medicine) PhysicianA70698CA

General Provider Information

NPI Number : 1710370002
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER J. SCHEID, M.D. INC
Provider Business Mailing Address
First Line : 34249 CAMINO CAPISTRANO
Second Line :
City : CAPISTRANO BEACH
State : CA
Zip : 92624-1138
Country : US
Telephone Number : 949-359-5663
Fax Number : 949-542-3878
Provider Business Practice Location Address
First Line : 34249 CAMINO CAPISTRANO
Second Line :
City : CAPISTRANO BEACH
State : CA
Zip : 92624-1138
Country : US
Telephone Number : 949-629-4140
Fax Number : 949-229-7684
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. PETER JOHN ELLIOT SCHEID
Credential : M.D.
Telephone Number : 949-629-4140
Provider Enumeration Date : 03/10/2015
Last Update Date : 03/20/2018

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