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NPI Code Detail

MEDICARE: MR. CHRISTIAN D SCHWARTZ M.S., PA-C, ATC

MEDICARE: MR. CHRISTIAN D SCHWARTZ M.S., PA-C, ATC
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
1363AM0700XMedical Physician AssistantPA22181CA
2363AS0400XSurgical Physician AssistantPA22181CA
3363A00000XPhysician AssistantPA22181CA

General Provider Information

NPI Number : 1992062152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTIAN D SCHWARTZ M.S., PA-C, ATC
Provider Business Mailing Address
First Line : 1041 N CHINA LAKE BLVD STE C
Second Line :
City : RIDGECREST
State : CA
Zip : 93555-3189
Country : US
Telephone Number : 760-446-6404
Fax Number :
Provider Business Practice Location Address
First Line : 105 E SYDNOR AVE STE 100
Second Line :
City : RIDGECREST
State : CA
Zip : 93555-5546
Country : US
Telephone Number : 760-446-6404
Fax Number : 760-446-6415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 05/18/2021

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