Individual
JACOB SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14860 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402-4683
(310) 553-5203
Mailing address
12665 VILLAGE LN APT 2301, PLAYA VISTA, CA 90094-2832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA60894
CA
208M00000X
Hospitalist Physician
PA60894
CA
363AM0700X
Medical Physician Assistant
Primary
60894
CA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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