Healthcare Provider Details

I. General information

NPI: 1922091263
Provider Name (Legal Business Name): VICTOR G SCHWEITZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12345 CHANDLER BLVD APT 306
VALLEY VILLAGE CA
91607-2182
US

IV. Provider business mailing address

PO BOX 849697
LOS ANGELES CA
90084-9697
US

V. Phone/Fax

Practice location:
  • Phone: 818-636-7506
  • Fax:
Mailing address:
  • Phone: 805-648-5191
  • Fax: 805-648-3458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberG78286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: