Healthcare Provider Details

I. General information

NPI: 1780611210
Provider Name (Legal Business Name): DONALD SCHWEITZER, M.D. A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3828 DELMAS TER
CULVER CITY CA
90232-2713
US

IV. Provider business mailing address

PO BOX 951
GLENDALE CA
91209-0951
US

V. Phone/Fax

Practice location:
  • Phone: 310-792-0662
  • Fax:
Mailing address:
  • Phone: 818-550-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA15168
License Number StateCA

VIII. Authorized Official

Name: DONALD SCHWEITZER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-792-0601