Healthcare Provider Details

I. General information

NPI: 1720172323
Provider Name (Legal Business Name): HARMON EDWARD SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N ALTADENA DR STE 100
PASADENA CA
91107-3369
US

IV. Provider business mailing address

325 N ALTADENA DR STE 100
PASADENA CA
91107-3369
US

V. Phone/Fax

Practice location:
  • Phone: 626-793-0441
  • Fax: 626-584-5792
Mailing address:
  • Phone: 626-793-0441
  • Fax: 626-584-5792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG29465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: