MEDICARE: DR. JEFFREY MARK STEINBERG M.D.

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	207VE0102X	Reproductive Endocrinology Physician	A35247	CA
2	207VE0102X	Reproductive Endocrinology Physician	6868	NV
3	207VG0400X	Gynecology Physician	A35247	CA
4	207VE0102X	Reproductive Endocrinology Physician	243900	NY

General Provider Information

NPI Number	:	1760564629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY MARK STEINBERG M.D.

Provider Business Mailing Address
First Line	:	16030 VENTURA BLVD
Second Line	:	SUITE 404
City	:	ENCINO
State	:	CA
Zip	:	91436-2731
Country	:	US
Telephone Number	:	818-728-4600
Fax Number	:	818-728-4616

Provider Business Practice Location Address
First Line	:	16030 VENTURA BLVD
Second Line	:	SUITE 404
City	:	ENCINO
State	:	CA
Zip	:	91436-2731
Country	:	US
Telephone Number	:	818-728-4600
Fax Number	:	818-728-4616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/23/2014

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