Provider Demographics
NPI:1619081262
Name:SHVARTSMAN, HYUN S (MD)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:S
Last Name:SHVARTSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BALDWIN PARK BLVD
Mailing Address - Street 2:OB/GYN, THIRD FLOOR
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5806
Mailing Address - Country:US
Mailing Address - Phone:626-851-6087
Mailing Address - Fax:626-851-5332
Practice Address - Street 1:1011 BALDWIN PARK BLVD
Practice Address - Street 2:OB/GYN, THIRD FLOOR
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5806
Practice Address - Country:US
Practice Address - Phone:626-851-6087
Practice Address - Fax:626-851-5332
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA63785207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A637850Medicaid
H50226Medicare UPIN
CA00A637850Medicaid