Healthcare Provider Details

I. General information

NPI: 1508897091
Provider Name (Legal Business Name): ERIC M SWARTZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N LA CIENEGA BLVD STE 203
WEST HOLLYWOOD CA
90069-2493
US

IV. Provider business mailing address

1106 N LA CIENEGA BLVD STE 203
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 TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: