Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A168513 | CA |
N | 207YP0228X | Pediatric Otolaryngology | A168513 | CA |
NPI | 1336553197 |
---|---|
Provider Name | Marissa A Schwartz |
First Address | Long Beach, CA 90807-4507 |
Second Address | Long Beach, CA 90807-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 11/10/2021 |