Healthcare Provider Details

I. General information

NPI: 1881859205
Provider Name (Legal Business Name): SCHWARTZBERG DIAGNOSTIC MEDICAL IMAGING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16935 VANOWEN ST SUITE H
VAN NUYS CA
91406-4595
US

IV. Provider business mailing address

16935 VANOWEN ST SUITE H
VAN NUYS CA
91406-4595
US

V. Phone/Fax

Practice location:
  • Phone: 818-342-0701
  • Fax: 818-342-0702
Mailing address:
  • Phone: 818-342-0701
  • Fax: 818-342-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. IRVING J SCHWARTZ
Title or Position: CEO
Credential: MD
Phone: 818-342-0701