Healthcare Provider Details

I. General information

NPI: 1104445451
Provider Name (Legal Business Name): PILAR YVETTE STEIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PILAR YVETTE SAGORSKY LCSW

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 S BEVERLY DR STE 336
BEVERLY HILLS CA
90212-3020
US

IV. Provider business mailing address

139 S BEVERLY DR STE 336
BEVERLY HILLS CA
90212-3020
US

V. Phone/Fax

Practice location:
  • Phone: 310-990-5148
  • Fax:
Mailing address:
  • Phone: 310-990-5148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21233
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: