Healthcare Provider Details

I. General information

NPI: 1477984672
Provider Name (Legal Business Name): STEVE SHVARTSBLAT MD MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2013
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 S VERMONT AVE FLOOR 12
LOS ANGELES CA
90020-1912
US

IV. Provider business mailing address

510 S VERMONT AVE 12TH FLOOR
LOS ANGELES CA
90020-1912
US

V. Phone/Fax

Practice location:
  • Phone: 213-433-7221
  • Fax:
Mailing address:
  • Phone: 213-433-7221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberG75036
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberG75036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: