Healthcare Provider Details

I. General information

NPI: 1457810756
Provider Name (Legal Business Name): MAGGIE SCHWEIG KANIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2019
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 WESTWOOD PLZ RM 1-240
LOS ANGELES CA
90095-4553
US

IV. Provider business mailing address

1821 FAIRBURN AVE APT 103
LOS ANGELES CA
90025-6962
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-5674
  • Fax:
Mailing address:
  • Phone: 562-221-1192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberA181281
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA181281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: