Basic Information
Provider Information
NPI: 1699792317
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAZ-ALTSCHUL
FirstName: OSCAR
MiddleName: JOAQUIN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1180 N INDIAN CANYON DR
Address2: SUITE E425
City: PALM SPRINGS
State: CA
PostalCode: 922624800
CountryCode: US
TelephoneNumber: 7603236316
FaxNumber: 7603236531
Practice Location
Address1: 1150 N INDIAN CANYON DR
Address2:  
City: PALM SPRINGS
State: CA
PostalCode: 922624872
CountryCode: US
TelephoneNumber: 7603236316
FaxNumber: 7603236531
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0127XA43866CAY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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