Healthcare Provider Details

I. General information

NPI: 1447257829
Provider Name (Legal Business Name): NEIL H STEINBERG D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 BAINBRIDGE CT
AGOURA HILLS CA
91301-1671
US

IV. Provider business mailing address

5925 BAINBRIDGE CT
AGOURA HILLS CA
91301-1671
US

V. Phone/Fax

Practice location:
  • Phone: 818-889-4774
  • Fax: 818-889-4814
Mailing address:
  • Phone: 818-889-4774
  • Fax: 818-889-4814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: