Provider Demographics
NPI:1841071586
Name:SCHWEITZER, CHAD
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17710 LASSEN ST APT 308
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4745
Mailing Address - Country:US
Mailing Address - Phone:310-686-7663
Mailing Address - Fax:
Practice Address - Street 1:5160 VINELAND AVE STE 101C
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3888
Practice Address - Country:US
Practice Address - Phone:818-853-0165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8896237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist