Healthcare Provider Details

I. General information

NPI: 1043779218
Provider Name (Legal Business Name): CASEY SCHREIBER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 W LA PALMA AVE STE 100
ANAHEIM CA
92801-2658
US

IV. Provider business mailing address

2441 W LA PALMA AVE STE 100
ANAHEIM CA
92801-2658
US

V. Phone/Fax

Practice location:
  • Phone: 657-282-6356
  • Fax:
Mailing address:
  • Phone: 657-282-6356
  • Fax: 714-563-3367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A19648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: