Basic Information
| Provider Information | |||||||||
| NPI: | 1861578833 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHRIMMER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 WEST ARBOR DR #8433 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921038433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195432384 | ||||||||
| FaxNumber: | 6195433703 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 WEST ARBOR DR #8433 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921038433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195432384 | ||||||||
| FaxNumber: | 6195433703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | G52655 | CA | X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VM0101X | G52655 | CA | X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 00G526550 | 05 | CA | MEDICAID |