Healthcare Provider Details

I. General information

NPI: 1871673350
Provider Name (Legal Business Name): CY STEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DUARTE RD CITY OF HOPE - MEDICAL ONCOLOGY BLDG 51
DUARTE CA
91010-3012
US

IV. Provider business mailing address

28 S OAK KNOLL AVE UNIT 210
PASADENA CA
91101
US

V. Phone/Fax

Practice location:
  • Phone: 626-471-3890
  • Fax: 626-471-7322
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number157794
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberG89157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: