Provider Demographics
NPI:1235572512
Name:SCHAEFER, GABRIELLE ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLE
Middle Name:ROSE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4647 ZION AVE
Mailing Address - Street 2:HOSPITAL MEDICINE SERVICES
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2507
Mailing Address - Country:US
Mailing Address - Phone:619-528-5435
Mailing Address - Fax:619-528-7890
Practice Address - Street 1:4647 ZION AVE
Practice Address - Street 2:HOSPITAL MEDICINE SERVICES
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2507
Practice Address - Country:US
Practice Address - Phone:619-528-5435
Practice Address - Fax:619-528-7890
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA134014208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program