MEDICARE: TOMIKO GEORGIA STEIN MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	A54361	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164416087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMIKO GEORGIA STEIN MD, MPH

Provider Business Mailing Address
First Line	:	1505 N EDGEMONT ST
Second Line	:	2ND FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5209
Country	:	US
Telephone Number	:	323-783-4798
Fax Number	:	323-783-4514

Provider Business Practice Location Address
First Line	:	1505 N EDGEMONT ST
Second Line	:	2ND FLOOR
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5209
Country	:	US
Telephone Number	:	323-783-4798
Fax Number	:	323-783-4514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	12/03/2021

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