Provider Demographics
NPI:1073549838
Name:SCHIEPERS, CHRISTIAAN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAAN
Middle Name:
Last Name:SCHIEPERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-983-1439
Mailing Address - Fax:310-206-4899
Practice Address - Street 1:200 UCLA MEDICAL PLZ
Practice Address - Street 2:SUITE B114
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-7370
Practice Address - Country:US
Practice Address - Phone:310-983-1439
Practice Address - Fax:310-206-4899
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44629207U00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A446290Medicaid
H12413Medicare UPIN
CAWA44629FMedicare PIN
CA00A446290Medicaid
CAWA44629BMedicare PIN