Provider Demographics
NPI:1245533926
Name:JANET L SCHREIBER MD A MEDICAL CORPORATION
Entity type:Organization
Organization Name:JANET L SCHREIBER MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-821-8250
Mailing Address - Street 1:3010 W. ORANGE AVE
Mailing Address - Street 2:#503
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3174
Mailing Address - Country:US
Mailing Address - Phone:714-821-8250
Mailing Address - Fax:714-821-8250
Practice Address - Street 1:3010 W. ORANGE AVE
Practice Address - Street 2:#503
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3174
Practice Address - Country:US
Practice Address - Phone:714-821-8250
Practice Address - Fax:714-821-5992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G473460Medicaid
CA00G473460Medicaid