Provider Demographics
NPI:1730589102
Name:SCHWAB, DALE ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:DALE
Middle Name:ANN
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5785 CORPORATE AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4726
Mailing Address - Country:US
Mailing Address - Phone:714-822-2325
Mailing Address - Fax:714-822-3839
Practice Address - Street 1:5785 CORPORATE AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4726
Practice Address - Country:US
Practice Address - Phone:714-822-2325
Practice Address - Fax:714-822-3839
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADR100000027247ZC0005X
NYSCHWD2247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician