Provider Demographics
NPI:1861606790
Name:SCHWARTZ, MARTIN ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ARNOLD
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15611 POMERADO RD
Mailing Address - Street 2:STE 575
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2438
Mailing Address - Country:US
Mailing Address - Phone:760-520-8200
Mailing Address - Fax:
Practice Address - Street 1:1001 EAST GRAND
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-520-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026952207RG0300X
OH35.051664207RG0300X
ORMD18537207RG0300X
CAG39185207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine