Provider Demographics
NPI:1760725030
Name:MICHAEL SCHREIBER, DO
Entity Type:Organization
Organization Name:MICHAEL SCHREIBER, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-453-8393
Mailing Address - Street 1:2560 W OLYMPIC BLVD
Mailing Address - Street 2:201
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2972
Mailing Address - Country:US
Mailing Address - Phone:213-383-0007
Mailing Address - Fax:866-505-1544
Practice Address - Street 1:2560 W OLYMPIC BLVD
Practice Address - Street 2:201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2972
Practice Address - Country:US
Practice Address - Phone:213-383-0007
Practice Address - Fax:866-505-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5391207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty