MEDICARE: JEFFREY STEINBERG MD, INCORPORATED

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	A035247	CA

General Provider Information

NPI Number	:	1962810671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY STEINBERG MD, INCORPORATED

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	:

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	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFREY STEINBERG
Credential	:	M.D.
Telephone Number	:	818-728-4600

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	07/25/2014

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