Basic Information
Provider Information
NPI: 1588982771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHARNWEBER
FirstName: RUDI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DAVID GEFFEN DEPARTMENT OF SURGERY
Address2: 10833 LE CONTE AVE., 72-235 CHS
City: LOS ANGELES
State: CA
PostalCode: 900951749
CountryCode: US
TelephoneNumber: 3108256643
FaxNumber:  
Practice Location
Address1: DAVID GEFFEN DEPARTMENT OF SURGERY
Address2: 10833 LE CONTE AVE., 72-235 CHS
City: LOS ANGELES
State: CA
PostalCode: 900951749
CountryCode: US
TelephoneNumber: 3108256643
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/12/2010
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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