Healthcare Provider Details

I. General information

NPI: 1619239852
Provider Name (Legal Business Name): BEN SCHWAB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BEN ARMITAGE

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1479 YGNACIO VALLEY RD # 150
WALNUT CREEK CA
94598-2986
US

IV. Provider business mailing address

1450 TREAT BLVD # 300
WALNUT CREEK CA
94597-2168
US

V. Phone/Fax

Practice location:
  • Phone: 925-296-7340
  • Fax:
Mailing address:
  • Phone: 925-952-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number125061083
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA167263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: