Basic Information
Provider Information
NPI: 1679634984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHWARZ
FirstName: ERNST
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25470 MEDICAL CENTER DR
Address2: STE 201
City: MURRIETA
State: CA
PostalCode: 925624901
CountryCode: US
TelephoneNumber: 9516984433
FaxNumber: 9514618790
Practice Location
Address1: 8631 W 3RD ST
Address2: SUITE 1017E
City: LOS ANGELES
State: CA
PostalCode: 900485901
CountryCode: US
TelephoneNumber: 3102895901
FaxNumber: 3102895917
Other Information
ProviderEnumerationDate: 12/12/2006
LastUpdateDate: 04/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XF5318CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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