Healthcare Provider Details

I. General information

NPI: 1386179463
Provider Name (Legal Business Name): CHRISTINA SCHROEDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 12/02/2021
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

7830 LAZY TRAIL CT
ORANGEVALE CA
95662-2124
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-2301
  • Fax: 310-328-0864
Mailing address:
  • Phone: 916-765-8545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA157386
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: