Healthcare Provider Details

I. General information

NPI: 1619128683
Provider Name (Legal Business Name): ELIZABETH SCHWARTING C.N.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH SCHWARTING C.N.M.

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 S OLIVE ST
LOS ANGELES CA
90015-3023
US

IV. Provider business mailing address

1530 S OLIVE ST
LOS ANGELES CA
90015-3023
US

V. Phone/Fax

Practice location:
  • Phone: 213-747-5542
  • Fax: 213-342-3560
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number18392
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1825
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number664273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: