Healthcare Provider Details

I. General information

NPI: 1871909804
Provider Name (Legal Business Name): CSI MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 W 6TH ST STE 370
SAN PEDRO CA
90732-3527
US

IV. Provider business mailing address

PO BOX 104527
PASADENA CA
91189-0416
US

V. Phone/Fax

Practice location:
  • Phone: 310-519-8890
  • Fax: 310-519-9349
Mailing address:
  • Phone: 408-369-5620
  • Fax: 408-904-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberG81771
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License NumberG81771
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG81771
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberG81771
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG81771
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberG81771
License Number StateCA

VIII. Authorized Official

Name: ERIC S SCHWEIGER
Title or Position: OWNER
Credential: MD
Phone: 212-283-3000