Healthcare Provider Details

I. General information

NPI: 1578059069
Provider Name (Legal Business Name): CHRISTINA MARIA SCHILB SP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date: 09/22/2026
Reactivation Date: 10/07/2026

III. Provider practice location address

3777 LONG BEACH BLVD STE 400
LONG BEACH CA
90807-3341
US

IV. Provider business mailing address

3180 JULIAN AVE
LONG BEACH CA
90808-4435
US

V. Phone/Fax

Practice location:
  • Phone: 562-317-5030
  • Fax:
Mailing address:
  • Phone: 562-343-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number42226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: