Provider Demographics
NPI:1295747038
Name:SCHWARTZ, JOSEPH AARON (M D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:AARON
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:911 E SAN ANTONIO DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2204
Mailing Address - Country:US
Mailing Address - Phone:562-984-6130
Mailing Address - Fax:562-984-6134
Practice Address - Street 1:911 E SAN ANTONIO DR
Practice Address - Street 2:SUITE 8
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2204
Practice Address - Country:US
Practice Address - Phone:562-984-6130
Practice Address - Fax:562-984-6134
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36637207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A366370Medicaid
CAA36637Medicare PIN
CAA84904Medicare UPIN