Basic Information
Provider Information
NPI: 1639349210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENFELD
FirstName: WILLIAM
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3626 RUFFIN RD
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921231810
CountryCode: US
TelephoneNumber: 8585659666
FaxNumber: 8585659441
Practice Location
Address1: 3626 RUFFIN RD
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921231810
CountryCode: US
TelephoneNumber: 8585659666
FaxNumber: 8585659441
Other Information
ProviderEnumerationDate: 03/10/2008
LastUpdateDate: 12/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA108285CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X246842MAN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
207LC0200XA108285CAN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
208VP0014XA108285CAY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


Home