Healthcare Provider Details

I. General information

NPI: 1437799962
Provider Name (Legal Business Name): ADHERENCE MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 08/05/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N LA CIENEGA BLVD STE 205
WEST HOLLYWOOD CA
90069-2493
US

IV. Provider business mailing address

1106 N LA CIENEGA BLVD STE 205
WEST HOLLYWOOD CA
90069-2493
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-8500
  • Fax: 310-652-6562
Mailing address:
  • Phone: 310-659-8500
  • Fax: 310-652-6562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC M SWARTZ
Title or Position: OWNER
Credential: DC
Phone: 310-659-8500