Basic Information
| Provider Information | |||||||||
| NPI: | 1801897467 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHMIDT | ||||||||
| FirstName: | TIMOTHY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18080 IMPERIAL HWY | ||||||||
| Address2: | |||||||||
| City: | YORBA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928863436 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147467473 | ||||||||
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| Practice Location | |||||||||
| Address1: | 275 BATTERY ST STE 650 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941113332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009976196 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD2015-0902 | NM | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 51255 | AZ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 04-38541 | KS | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 18501 | HI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MED-PHYS-LIC-58030 | MT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D0080439 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 9511618-1205 | UT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 16147 | NV | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 64990-20 | WI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01076230A | IN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 119238 | AK | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD1809058 | OR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DR.0057991 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD00028215 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | G48045 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.