Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E002890 | CA |
N | 222Z00000X | Podiatrist | E002890 | CA |
Y | 2081S0010X | Sports Medicine | E002890 | CA |
Y | 213ES0000X | Sports Medicine | E002890 | CA |
N | 213ES0103X | Foot & Ankle Surgery | E002890 | CA |
NPI | 1518078518 |
---|---|
Provider Name | Paul S Schwartz |
First Address | Walnut Creek, CA 94598-3016 |
Second Address | Walnut Creek, CA 94598-3016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
942777680 | TAX ID (01) | CA |
T11510 | (02) | CA |