Individual
DR. ANDREW IRA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5300 SNYDER LN, ROHNERT PARK, CA 94928-2915
(707) 585-8347
(707) 573-5424
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 585-8347
(707) 573-5424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A10017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A 10017
MEDICAL LICENSE
CA
01
—
5101016693
MEDICAL LICENSE
MI
01
—
5315025405
CONTROLLED SUBSTANCE #
MI
05
—
FHC71031F
—
CA
01
—
OS 10051
MEDICAL LICENSE
FL
01
—
W1508E
PTAN, BV362YZ AND BV362Y,
CA
Enumeration date
06/13/2006
Last updated
11/14/2023
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