Individual
JEREMY RYAN SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7230 MEDICAL CENTER DR STE 604, WEST HILLS, CA 91307-4021
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022-02789
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A196735
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
08/01/2025
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