MEDICARE: DR. MICHAEL S SCHWARTZ MD

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	207Y00000X	Otolaryngology Physician	G50895	CA

General Provider Information

NPI Number	:	1922094382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL S SCHWARTZ MD

Provider Business Mailing Address
First Line	:	960 E GREEN ST
Second Line	:	#101
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-793-5134
Fax Number	:	626-793-2912

Provider Business Practice Location Address
First Line	:	960 E GREEN ST
Second Line	:	#101
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-793-5134
Fax Number	:	626-793-2912

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/08/2007

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