Healthcare Provider Details

I. General information

NPI: 1124280581
Provider Name (Legal Business Name): BENJAMIN J. STEINBERG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 N RECREATION AVE STE 105
FRESNO CA
93720-8001
US

IV. Provider business mailing address

7050 N RECREATION AVE STE 105
FRESNO CA
93720-8001
US

V. Phone/Fax

Practice location:
  • Phone: 559-321-2930
  • Fax: 559-321-2940
Mailing address:
  • Phone: 559-321-2930
  • Fax: 559-321-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number20A11769
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: