MEDICARE: DR. RONALD BLEY STEIN M.D., F.A.C.P.

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	174400000X	Specialist	A20188	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
2	A20188	OTHER	CA	CALIFORNIA STATE LICENSE

General Provider Information

NPI Number	:	1578549390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD BLEY STEIN M.D., F.A.C.P.

Provider Business Mailing Address
First Line	:	1624 W OLIVE AVE
Second Line	:	SUITE A
City	:	BURBANK
State	:	CA
Zip	:	91506-2459
Country	:	US
Telephone Number	:	818-843-1744
Fax Number	:	818-843-8398

Provider Business Practice Location Address
First Line	:	1624 W OLIVE AVE
Second Line	:	SUITE A
City	:	BURBANK
State	:	CA
Zip	:	91506-2459
Country	:	US
Telephone Number	:	818-843-1744
Fax Number	:	818-843-8398

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	12/10/2009

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