Provider Demographics
NPI:1902939887
Name:SCHULTZ, GERI JEAN (LA C)
Entity Type:Individual
Prefix:
First Name:GERI
Middle Name:JEAN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:219 KELP STREET
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266
Mailing Address - Country:US
Mailing Address - Phone:310-383-4509
Mailing Address - Fax:310-546-1406
Practice Address - Street 1:2250 PARK PLACE
Practice Address - Street 2:INSIDE BODY SPECTRUM SPA
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90254
Practice Address - Country:US
Practice Address - Phone:310-643-6569
Practice Address - Fax:310-643-5776
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8352171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist