Provider Demographics
NPI:1720172323
Name:SCHWARTZ, HARMON EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:HARMON
Middle Name:EDWARD
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 1:325 N ALTADENA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3369
Mailing Address - Country:US
Mailing Address - Phone:626-793-0441
Mailing Address - Fax:626-584-5792
Practice Address - Street 1:325 N ALTADENA DR STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3369
Practice Address - Country:US
Practice Address - Phone:626-793-0441
Practice Address - Fax:626-584-5792
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29465207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG29465OtherMEDICAL LICENSE
CAG29465OtherMEDICAL LICENSE
CAA44043Medicare UPIN