Healthcare Provider Details

I. General information

NPI: 1174460562
Provider Name (Legal Business Name): ALEXANDER SCHWARZ LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 BROCKTON AVE STE 104
RIVERSIDE CA
92506-3814
US

IV. Provider business mailing address

10098 THRASHER CIR
MORENO VALLEY CA
92557-2817
US

V. Phone/Fax

Practice location:
  • Phone: 626-817-2508
  • Fax:
Mailing address:
  • Phone: 626-817-2508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER ROBERT SCHWARZ
Title or Position: CEO/ OWNER/TREATMENT PROVIDER
Credential: LMFT
Phone: 626-817-2508