Provider Demographics
NPI:1942205034
Name:SCHWARTZ, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:SCHWARTZ
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:PO BOX 491147
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-9147
Mailing Address - Country:US
Mailing Address - Phone:310-472-8221
Mailing Address - Fax:310-496-1989
Practice Address - Street 1:200 S BARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-7939
Practice Address - Country:US
Practice Address - Phone:310-472-8221
Practice Address - Fax:310-496-1989
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22721207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G227210Medicaid
AS5197074OtherDME
CA00G227210Medicaid
00G227211Medicare ID - Type Unspecified