Healthcare Provider Details

I. General information

NPI: 1336397660
Provider Name (Legal Business Name): JAIME SCOTT SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S LA CIENEGA BLVD STE 200
BEVERLY HILLS CA
90211-3340
US

IV. Provider business mailing address

240 S LA CIENEGA BLVD STE 200
BEVERLY HILLS CA
90211-3340
US

V. Phone/Fax

Practice location:
  • Phone: 310-882-5454
  • Fax:
Mailing address:
  • Phone: 310-882-5454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA105035
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: