MEDICARE: MICHAEL S SCHWARTZ,MD A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	G50895A	CA

General Provider Information

NPI Number	:	1063408623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL S SCHWARTZ,MD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	960 E GREEN ST
Second Line	:	#101
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-793-5134
Fax Number	:	626-793-2912

Provider Business Practice Location Address
First Line	:	960 E GREEN ST
Second Line	:	#101
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-793-5134
Fax Number	:	626-793-2912

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL S SCHWARTZ
Credential	:	MD
Telephone Number	:	626-793-5134

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	08/22/2020

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