Basic Information
Provider Information
NPI: 1861684938
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOELLHAMMER
FirstName: HANS
MiddleName: F
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 512185
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900510185
CountryCode: US
TelephoneNumber: 6267753514
FaxNumber: 6264083911
Practice Location
Address1: 44151 15TH ST W
Address2:  
City: LANCASTER
State: CA
PostalCode: 935344079
CountryCode: US
TelephoneNumber: 6619025600
FaxNumber: 6619510686
Other Information
ProviderEnumerationDate: 08/13/2007
LastUpdateDate: 11/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA96976CAN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206XA96976CAY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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