Provider Demographics
NPI:1700847514
Name:SCHWARTZ, MICHAEL E (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47647 CALEO BAY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-8858
Mailing Address - Country:US
Mailing Address - Phone:760-771-1000
Mailing Address - Fax:760-771-9001
Practice Address - Street 1:47647 CALEO BAY DR STE 210
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8858
Practice Address - Country:US
Practice Address - Phone:760-771-1000
Practice Address - Fax:760-771-9001
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0006809207RG0100X
CA20A20063207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1700847514Medicaid
FL378570000Medicaid
FL57166Medicare PIN