Healthcare Provider Details

I. General information

NPI: 1417190182
Provider Name (Legal Business Name): EILEEN FRAN SCHWARTZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2009
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 W MAGNOLIA BLVD
BURBANK CA
91506-1706
US

IV. Provider business mailing address

2121 W MAGNOLIA BLVD
BURBANK CA
91506-1706
US

V. Phone/Fax

Practice location:
  • Phone: 818-566-9774
  • Fax: 818-566-1841
Mailing address:
  • Phone: 818-566-9774
  • Fax: 818-566-1841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberG69655
License Number StateCA

VIII. Authorized Official

Name: DR. EILEEN F. SCHWARTZ
Title or Position: OWNER
Credential: M.D.
Phone: 818-566-9774