Provider Demographics
NPI:1326598723
Name:MEDICAL VALLEY PARTNERS, INC
Entity Type:Organization
Organization Name:MEDICAL VALLEY PARTNERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-757-1212
Mailing Address - Street 1:5525 ETIWANDA AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6136
Mailing Address - Country:US
Mailing Address - Phone:818-757-1212
Mailing Address - Fax:818-757-1531
Practice Address - Street 1:5525 ETIWANDA AVE STE 211
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6136
Practice Address - Country:US
Practice Address - Phone:818-757-1212
Practice Address - Fax:818-757-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53510363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty