Healthcare Provider Details
I. General information
NPI: 1932125267
Provider Name (Legal Business Name): MITCHEL J STEINBERG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/13/2006
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22020 CLARENDON ST # 101
WOODLAND HILLS CA
91367-6618
US
IV. Provider business mailing address
22020 CLARENDON ST # 101
WOODLAND HILLS CA
91367-6618
US
V. Phone/Fax
- Phone: 818-346-9233
- Fax: 818-346-9485
- Phone: 818-346-9233
- Fax: 818-346-9485
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | DC17982 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: