Provider Demographics
NPI:1881859205
Name:SCHWARTZBERG DIAGNOSTIC MEDICAL IMAGING INC.
Entity Type:Organization
Organization Name:SCHWARTZBERG DIAGNOSTIC MEDICAL IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-342-0701
Mailing Address - Street 1:16935 VANOWEN ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4595
Mailing Address - Country:US
Mailing Address - Phone:818-342-0701
Mailing Address - Fax:818-342-0702
Practice Address - Street 1:16935 VANOWEN ST
Practice Address - Street 2:SUITE H
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4595
Practice Address - Country:US
Practice Address - Phone:818-342-0701
Practice Address - Fax:818-342-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty