Individual
EMILY SARAH SWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 212, TARZANA, CA 91356-3647
(818) 996-9677
(818) 996-9709
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A120388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1203880
—
CA
Enumeration date
07/24/2012
Last updated
12/28/2016
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