Healthcare Provider Details

I. General information

NPI: 1689895195
Provider Name (Legal Business Name): DANIEL WILLIAM SCHAEFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8730 ALDEN DR #C-301
LOS ANGELES CA
90048
US

IV. Provider business mailing address

PO BOX 491757
LOS ANGELES CA
90049-8757
US

V. Phone/Fax

Practice location:
  • Phone: 310-476-0551
  • Fax:
Mailing address:
  • Phone: 310-476-0551
  • Fax: 310-476-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberA34391
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberA34391
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA34391
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA34391
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: