Provider Demographics
NPI:1831227669
Name:SCHREIBER, JANET LEE (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 W ORANGE AVE STE 503
Mailing Address - Street 2:
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:714-821-5992
Practice Address - Street 1:3010 W ORANGE AVE STE 503
Practice Address - Street 2:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G473460Medicaid
CAA50665Medicare UPIN
CAG47346Medicare ID - Type Unspecified