Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G47801 | CA |
NPI | 1053483065 |
---|---|
Provider Name | Dr. Andrea L Stein |
First Address | Santa Monica, CA 90403 |
Second Address | Santa Monica, CA 90404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 12/02/2018 |