Healthcare Provider Details
I. General information
NPI: 1295059426
Provider Name (Legal Business Name): HARMON E. SCHWARTZ, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2010
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
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
- Phone: 626-793-0441
- Fax: 626-584-5792
- Phone: 626-793-0441
- Fax: 626-584-5792
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HARMON
EDWARD
SCHWARTZ
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 626-793-0441