Doctor Name: | JOANN SCHNEIDER |
NPI Number: | 1003157934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G64889 |
Business Practice Address: | 6848 Magnolia Ave Ste 130 Riverside, CA - 925062857 |
Business Phone Number: | 9516831174 |
Business Fax Number: | 9516821253 |
Mailing Address: | 6848 Magnolia Ave, Ste 130 RIVERSIDE |
State: | CA |
Postal Code: | 925062857 |
Phone Number: | 9516831174 |
Fax Number: | 9516821253 |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G64889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |