Provider Demographics
NPI:1588344899
Name:SCHREIBER, DANIELLE MELISSA (BA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MELISSA
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-5801
Mailing Address - Country:US
Mailing Address - Phone:310-405-1330
Mailing Address - Fax:
Practice Address - Street 1:1215 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-5801
Practice Address - Country:US
Practice Address - Phone:310-405-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist