Michael Lee Schreiber D O Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MICHAEL LEE SCHREIBER D O INC

Practice address

2400 Broadway
Suite 520-D
Santa Monica, CA 90404-3030

Phone

(310) 453-8393

Fax

(310) 453-8696

NPI assigned

Oct 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Lee Schreiber, D.O.

Title

President/ Ceo

Phone

(310) 453-8393

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1992015150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BROADWAY",
            "address_2": "SUITE 520-D",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043030",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADWAY",
            "address_2": "SUITE 520-D",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043030",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LEE SCHREIBER D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "310-453-8393",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A5391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.