Individual
LISA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(310) 829-8913
(310) 315-6168
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(310) 335-4056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G86609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G866090
—
CA
01
—
G86609
MEDICAL LICENSE
CA
Enumeration date
07/26/2006
Last updated
10/18/2007
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