MEDICARE: ANDREW M. STEINER, M.D. MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	C128206	CA
2	207XX0801X	Orthopaedic Trauma Physician	C128206	CA
3	207X00000X	Orthopaedic Surgery Physician	C128206	CA

General Provider Information

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

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-3430
Country	:	US
Telephone Number	:	818-344-6784
Fax Number	:	818-344-6785

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-3430
Country	:	US
Telephone Number	:	818-344-6784
Fax Number	:	818-344-6785

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREW MARTIN STEINER
Credential	:	MD
Telephone Number	:	213-999-3717

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	02/26/2018

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