Provider Demographics
NPI:1538259437
Name:SCHENKEL, STEVEN SOLOMON (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:SOLOMON
Last Name:SCHENKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:SOLOMON
Other - Last Name:SCHENKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:116 N ROBERTSON BLVD
Mailing Address - Street 2:#806
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3111
Mailing Address - Country:US
Mailing Address - Phone:310-659-8884
Mailing Address - Fax:310-659-3888
Practice Address - Street 1:116 N ROBERTSON BLVD
Practice Address - Street 2:#806
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3111
Practice Address - Country:US
Practice Address - Phone:310-659-8884
Practice Address - Fax:310-659-3888
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA265762084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry