Healthcare Provider Details

I. General information

NPI: 1881945483
Provider Name (Legal Business Name): DAVID W SCHWARTZ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 09/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD SUITE 141
TEMECULA CA
92591-6200
US

IV. Provider business mailing address

29645 RANCHO CALIFORNIA RD SUITE 141
TEMECULA CA
92591-6200
US

V. Phone/Fax

Practice location:
  • Phone: 951-695-6232
  • Fax: 951-694-3627
Mailing address:
  • Phone: 951-695-6232
  • Fax: 951-694-3627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberG205620
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID W SCHWARTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 951-695-6232