Provider Demographics
NPI:1003417833
Name:TOTAL LIPEDEMA CARE
Entity Type:Organization
Organization Name:TOTAL LIPEDEMA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-882-5454
Mailing Address - Street 1:240 S LA CIENEGA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3340
Mailing Address - Country:US
Mailing Address - Phone:310-882-5454
Mailing Address - Fax:310-882-5454
Practice Address - Street 1:240 S LA CIENEGA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3340
Practice Address - Country:US
Practice Address - Phone:310-882-5454
Practice Address - Fax:310-882-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty