MEDICARE: DR. LEON E SCHWARTZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A24029	CA

General Provider Information

NPI Number	:	1255536959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON E SCHWARTZ M.D.

Provider Business Mailing Address
First Line	:	30984 PALO ALTO DR
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92373-7490
Country	:	US
Telephone Number	:	909-794-4116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1666 N WATERMAN AVE
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-5113
Country	:	US
Telephone Number	:	909-886-4965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	07/08/2007

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