Provider Demographics
NPI:1316005739
Name:SCHWARZBEIN, AUDREY DENISE (MD)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:DENISE
Last Name:SCHWARZBEIN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24022 CALLE DE LA PLATA
Mailing Address - Street 2:SUITE #305
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3626
Mailing Address - Country:US
Mailing Address - Phone:949-951-1457
Mailing Address - Fax:949-768-8902
Practice Address - Street 1:24022 CALLE DE LA PLATA
Practice Address - Street 2:SUITE #305
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3626
Practice Address - Country:US
Practice Address - Phone:949-951-1457
Practice Address - Fax:949-768-8902
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG58126207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology