Provider Demographics
NPI:1053465849
Name:SCHWARZENBERGER, JOHANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:
Last Name:SCHWARZENBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
Mailing Address - Street 2:757 WESTWOOD PLAZA, SUITE 3325
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-7403
Mailing Address - Country:US
Mailing Address - Phone:310-267-8680
Mailing Address - Fax:310-267-3584
Practice Address - Street 1:DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
Practice Address - Street 2:757 WESTWOOD PLAZA, SUITE 3325
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-7403
Practice Address - Country:US
Practice Address - Phone:310-267-8680
Practice Address - Fax:310-267-3584
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206555207L00000X
CAC52424207LC0200X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAR293YMedicare PIN