Provider Demographics
NPI:1679662852
Name:SCHREIBER, ANDREW O (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:O
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:790 LEEWARD WAY
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-4382
Mailing Address - Country:US
Mailing Address - Phone:949-333-1586
Mailing Address - Fax:888-838-3749
Practice Address - Street 1:1535 E 17TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8519
Practice Address - Country:US
Practice Address - Phone:714-834-1565
Practice Address - Fax:714-834-1551
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG57315207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1598069809OtherTYPE 2 NPI
CAG57315Medicare PIN