Provider Demographics
NPI:1528094323
Name:SCHMIDT, JOHN C (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 969096
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92196-9096
Mailing Address - Country:US
Mailing Address - Phone:858-495-0971
Mailing Address - Fax:858-495-0991
Practice Address - Street 1:770 WASHINGTON ST
Practice Address - Street 2:#101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2209
Practice Address - Country:US
Practice Address - Phone:619-229-9530
Practice Address - Fax:619-296-5316
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2010-09-17
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Provider Licenses
StateLicense IDTaxonomies
CAC31297207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC31297Medicare PIN