Provider Demographics
NPI:1518157569
Name:ALAN SCHWARTZ D C A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ALAN SCHWARTZ D C A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-533-1813
Mailing Address - Street 1:504 S BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-2416
Mailing Address - Country:US
Mailing Address - Phone:714-533-1813
Mailing Address - Fax:714-533-0618
Practice Address - Street 1:504 S BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-2416
Practice Address - Country:US
Practice Address - Phone:714-533-1813
Practice Address - Fax:714-533-0618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT04796OtherBLUE SHIELD
CAT04796OtherBLUE SHIELD