Provider Demographics
NPI:1437296274
Name:SHVARTS, ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:SHVARTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7531 SANTA MONICA BLVD
Mailing Address - Street 2:#101A
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6401
Mailing Address - Country:US
Mailing Address - Phone:323-882-6989
Mailing Address - Fax:323-882-8027
Practice Address - Street 1:7531 SANTA MONICA BLVD
Practice Address - Street 2:#101A
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6401
Practice Address - Country:US
Practice Address - Phone:323-882-6989
Practice Address - Fax:323-882-8027
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41294207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA85599Medicare UPIN
CAA41294BMedicare ID - Type Unspecified