Healthcare Provider Details

I. General information

NPI: 1407815897
Provider Name (Legal Business Name): JULIE L STEINER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 12/13/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NEVIN AVE
RICHMOND CA
94801-3143
US

IV. Provider business mailing address

901 NEVIN AVE
RICHMOND CA
94801-3143
US

V. Phone/Fax

Practice location:
  • Phone: 510-307-1555
  • Fax: 510-307-2663
Mailing address:
  • Phone: 510-307-1555
  • Fax: 510-307-2663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0057064
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA96982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: