| Mrs Liberty Jo Schuller, RN | |
|
809 1st St, Coronado, CA 92118-1301 | |
| (619) 564-4767 | |
| Not Available |
| Full Name | Mrs Liberty Jo Schuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 809 1st St, Coronado, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679880322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 571135 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | United Medical Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
| Entity Name | Endoscopy Center Of The South Bay Lp |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1053391169 PECOS PAC ID: 8628022498 Enrollment ID: O20050304000646 |
| Entity Name | La Jolla Endoscopy Center Lp |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1407829773 PECOS PAC ID: 0648371419 Enrollment ID: O20070723000905 |
| Entity Name | Murrieta Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083847099 PECOS PAC ID: 7911033808 Enrollment ID: O20100330001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Liberty Jo Schuller, RN 809 1st St, Coronado, CA 92118-1301 Ph: (619) 564-4767 | Mrs Liberty Jo Schuller, RN 809 1st St, Coronado, CA 92118-1301 Ph: (619) 564-4767 |