Healthcare Provider Details

I. General information

NPI: 1871457754
Provider Name (Legal Business Name): DANIEL SCHREIBER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 CAPALINA RD
SAN MARCOS CA
92069-1288
US

IV. Provider business mailing address

2119 SILVERADO ST
SAN MARCOS CA
92078-3203
US

V. Phone/Fax

Practice location:
  • Phone: 760-744-2104
  • Fax: 760-389-4283
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberR1613300525
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: