Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E2586 | CA |
Y | 222Z00000X | Podiatrist | E2586 | CA |
N | 213ES0131X | Foot Surgery | E2586 | CA |
NPI | 1184694762 |
---|---|
Provider Name | Dr. Stuart C Steinberg |
First Address | Studio City, CA 91604-4314 |
Second Address | Burbank, CA 91505-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 10/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E25861 | (05) | CA |
T11388 | (02) | CA |
ZZZ09632Z | BLUE SHIELD GROUP ID (01) | CA |