Provider Demographics
NPI:1962489203
Name:RONALD SCHREIER MD INC
Entity type:Organization
Organization Name:RONALD SCHREIER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHREIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-771-1751
Mailing Address - Street 1:725 W LA VETA AVE
Mailing Address - Street 2:#210B
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4446
Mailing Address - Country:US
Mailing Address - Phone:714-771-1751
Mailing Address - Fax:714-771-6309
Practice Address - Street 1:725 W LA VETA AVE
Practice Address - Street 2:#210B
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4446
Practice Address - Country:US
Practice Address - Phone:714-771-1751
Practice Address - Fax:714-771-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG7394207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G73940Medicaid
CA000G73940Medicaid
CA000G73940Medicaid
CA=========OtherFED GOV