MEDICARE: BARRY M. SCHWARTZ M.D.

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	208D00000X	General Practice Physician	G63587	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285692061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY M. SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	17822 BEACH BLVD STE 367
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-7116
Country	:	US
Telephone Number	:	714-848-7676
Fax Number	:	714-848-7626

Provider Business Practice Location Address
First Line	:	17822 BEACH BLVD STE 100
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-7161
Country	:	US
Telephone Number	:	714-841-1040
Fax Number	:	714-841-1031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	05/26/2022

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