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Organization

IOM NEURO PRO READER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW SCHREIBER M.D. (CEO)
(909) 373-4633
Entity
Organization

Contact information

Practice address
9300 SANTA ANITA AVE, SUITE 101, RANCHO CUCAMONGA, CA 91730
(909) 373-4633
(909) 343-5228
Mailing address
9300 SANTA ANITA AVE, SUITE 101, RANCHO CUCAMONGA, CA 91730
(909) 373-4633
(909) 343-5228

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
G57315
CA
2084N0400X
Neurology Physician
Primary
G57315
CA
2084N0600X
Clinical Neurophysiology Physician
G57315
CA

Other

Enumeration date
03/01/2018
Last updated
03/01/2018
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