Provider Demographics
NPI:1578507869
Name:SCHWARTZ, CARRIE RENEE (DC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:RENEE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 S SHENANDOAH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1703
Mailing Address - Country:US
Mailing Address - Phone:323-872-7363
Mailing Address - Fax:310-652-6562
Practice Address - Street 1:1106 N LA CIENEGA BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-2493
Practice Address - Country:US
Practice Address - Phone:323-872-7363
Practice Address - Fax:310-652-6562
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28911111N00000X
TX8075111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor