Healthcare Provider Details

I. General information

NPI: 1760725030
Provider Name (Legal Business Name): MICHAEL SCHREIBER, DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 W OLYMPIC BLVD 201
LOS ANGELES CA
90006-2972
US

IV. Provider business mailing address

2560 W OLYMPIC BLVD 201
LOS ANGELES CA
90006-2972
US

V. Phone/Fax

Practice location:
  • Phone: 213-383-0007
  • Fax: 866-505-1544
Mailing address:
  • Phone: 213-383-0007
  • Fax: 866-505-1544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number20A5391
License Number StateCA

VIII. Authorized Official

Name: MICHAEL SCHREIBER
Title or Position: PRESIDENT
Credential: DO
Phone: 310-453-8393