Healthcare Provider Details

I. General information

NPI: 1558862425
Provider Name (Legal Business Name): ANDREW M. STEINER, M.D. MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2018
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12660 RIVERSIDE DR STE 201
NORTH HOLLYWOOD CA
91607-3430
US

IV. Provider business mailing address

12660 RIVERSIDE DR STE 201
NORTH HOLLYWOOD CA
91607-3430
US

V. Phone/Fax

Practice location:
  • Phone: 818-344-6784
  • Fax: 818-344-6785
Mailing address:
  • Phone: 818-344-6784
  • Fax: 818-344-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberC128206
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberC128206
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberC128206
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW MARTIN STEINER
Title or Position: OWNER
Credential: MD
Phone: 213-999-3717