Provider Demographics
NPI:1285796151
Name:SCHWIMER, STANFORD ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:STANFORD
Middle Name:ROBERT
Last Name:SCHWIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:#240
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5100
Mailing Address - Country:US
Mailing Address - Phone:310-859-8104
Mailing Address - Fax:310-859-2592
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:#240
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5100
Practice Address - Country:US
Practice Address - Phone:310-859-8104
Practice Address - Fax:310-859-2592
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2015-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG397462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92119Medicare UPIN