MEDICARE: DR. ROY D STEINBERG PHD

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	103T00000X	Psychologist	35S100355000	NJ
2	103TB0200X	Cognitive & Behavioral Psychologist	PSY14836	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982644571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY D STEINBERG PHD

Provider Business Mailing Address
First Line	:	1333 S BEVERLY GLEN BLVD
Second Line	:	APT 901
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5277
Country	:	US
Telephone Number	:	609-458-2540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 S BEVERLY GLEN BLVD
Second Line	:	APT 901
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5277
Country	:	US
Telephone Number	:	609-458-2540
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/05/2019

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