Healthcare Provider Details

I. General information

NPI: 1003891334
Provider Name (Legal Business Name): MARY BETH J STEINFELD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 50TH ST UC DAVIS DEPARTMENT OF PEDIATRICS
SACRAMENTO CA
95817-2308
US

IV. Provider business mailing address

3346 SIERRA OAKS DR
SACRAMENTO CA
95864-5729
US

V. Phone/Fax

Practice location:
  • Phone: 916-703-0271
  • Fax: 916-703-0243
Mailing address:
  • Phone: 916-703-0271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberG059676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: