Provider Demographics
NPI:1588394985
Name:SCHWARTZ, DANIEL (LAC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 VALE TERRACE DR STE A
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5277
Mailing Address - Country:US
Mailing Address - Phone:760-607-6868
Mailing Address - Fax:
Practice Address - Street 1:933 VALE TERRACE DR STE A
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5277
Practice Address - Country:US
Practice Address - Phone:760-607-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19441171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty