Provider Demographics
NPI:1407993587
Name:SCHREIBER, SUSAN SHALEH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:SHALEH
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8907 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1937
Mailing Address - Country:US
Mailing Address - Phone:310-247-8687
Mailing Address - Fax:310-859-9131
Practice Address - Street 1:8907 WILSHIRE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1937
Practice Address - Country:US
Practice Address - Phone:310-247-8687
Practice Address - Fax:310-859-9131
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2015-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG23551208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG23551OtherLICENSE